Physician
Sunil K. Kaushal, M.D., P.C.
Sunil K. Kaushal, M.D., P.C. was paid $142K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 43% of everything it billed.
33Billing provider infoSUNIL K. KAUSHAL, M.D., P.C.
FLINT, MI 48532
FLINT, MI 48532
33aNPI1912927849assigned 07/21/2006
33bProvider typeGastroenterology Physician
28Total paid$142K
24GClaims8,916
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#28 of 67
Median peer was paid$89K
This provider vs. median1.6×
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 | 357 | $17K | |
| 2019 | 556 | $15K | |
| 2020 | 1,193 | $16K | |
| 2021 | 1,971 | $28K | |
| 2022 | 2,081 | $28K | |
| 2023 | 1,694 | $24K | |
| 2024incomplete | 1,064 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 43% | 1,107 | 1,091 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 791 | 780 | $31K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10% | 183 | 182 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.6% | 237 | 237 | $14K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.2% | 95 | 95 | $9K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.5% | 65 | 65 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 106 | 106 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | 14 | $919.92 |
| 43235 | <1% | 14 | 14 | $390.06 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,718 | 1,700 | $0.00 |
| 4004F | 0% | 336 | 334 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,016 | 1,007 | $0.00 |
7 more codes
| 1033F | 0% | 55 | $0.00 | |
| 1036F | 0% | 947 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 944 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 349 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 327 | $0.00 |
| 3017F | 0% | 415 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 196 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKAUSHAL, SUNIL (PRESIDENT/OWNER)