Kaul, Sushma

Kaul, Sushma was paid $11K by Medicaid between Oct 2019 and Jan 2023, across 1 billing code. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.

33Billing provider infoKAUL, SUSHMA
UTICA, NY 13502

33aNPI1952317091assigned 07/31/2006

33bProvider typePulmonary Disease Physician

28Total paid$11K

24GClaims432

24DCodes billed1

24AFirst – last monthOct 2019 – Jan 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#184 of 413

Median peer was paid$8K

This provider vs. median1.4×

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
2019	52	$2K
2020	149	$4K
2021	193	$5K
2023	38	$990.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	100%	432	164	$11K

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.