Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SURYADEVARA, SAMPATH

NPI: 1932226750 · ANAHEIM, CA 92801 · Internal Medicine Physician · NPI assigned 03/25/2007

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 11/20/2022.
$46K
Total Medicaid Paid
1,109
Total Claims
1,098
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 267 $11K
2019 338 $13K
2020 340 $15K
2021 164 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99337 1,049 1,038 $45K
90658 29 29 $696.82
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 15 15 $231.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $13.38