Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › E Setauket › NPI 1932195138
Physician

Syali, Gurmohan

Syali, Gurmohan was paid $69K by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoSYALI, GURMOHAN
E SETAUKET, NY 11733
33aNPI1932195138assigned 09/22/2005
28Total paid$69K
24GClaims7,255
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Medical Oncology Physician providers in New York

Rank by total paid#8 of 84
Median peer was paid$6K
This provider vs. median11×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018341$3K
2019825$4K
20201,546$11K
20211,704$19K
20221,397$14K
20231,039$10K
2024incomplete403$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 59% 1,488 1,311 $41K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 21% 443 389 $14K
99490 Ccm add 20min 8.0% 842 842 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4.2% 99 70 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.2% 1,652 1,318 $2K
J1756 Injection, iron sucrose, 1 mg 2.0% 59 37 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.5% 224 185 $1K
80053 Comprehensive metabolic panel <1% 487 425 $195.42
83735 <1% 298 268 $179.66
83615 <1% 241 220 $162.98
82728 <1% 52 50 $150.04
82378 <1% 93 79 $146.94
7 more codes
86300 <1% 28 $124.92
83550 <1% 40 $96.14
84100 <1% 107 $75.84
83540 <1% 51 $71.17
84550 <1% 59 $57.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 39 $35.14
36415 Collection of venous blood by venipuncture <1% 953 $18.74

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.