Sukhadia, Ila

Sukhadia, Ila was paid $372K by Medicaid between Jan 2018 and Jul 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSUKHADIA, ILA
STATEN ISLAND, NY 10312

33aNPI1801869565assigned 02/10/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$372K

24GClaims12,287

24DCodes billed27

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#61 of 161

Median peer was paid$100K

This provider vs. median3.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	4,558	$125K
2019	5,410	$165K
2020	2,319	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49%	3,157	2,485	$181K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	20%	914	836	$75K
92552		4.6%	784	723	$17K
90460	Immunization administration through 18 years of age via any route, first or only component	4.6%	1,142	1,093	$17K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.2%	163	145	$12K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	162	140	$11K
97802		2.6%	608	549	$10K
90472	Immunization administration, each additional vaccine (list separately)	2.2%	424	411	$8K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.9%	80	80	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.8%	983	897	$7K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	462	255	$5K
93000		1.2%	348	309	$4K

15 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	198	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	658	$4K
86580		<1%	491	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	29	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	101	$2K
99173		<1%	758	$1K
69210		<1%	34	$1K
97803		<1%	58	$567.97
90686		<1%	353	$475.75
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	21	$330.60
96127		<1%	70	$310.67
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$209.93
96160		<1%	247	$155.88
90715		<1%	14	$117.60
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	14	$7.23

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.