Physician
Penmetsa, Sushma
Penmetsa, Sushma was paid $10K by Medicaid between Jan 2019 and Oct 2023, across 10 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 45% of everything it billed.
33Billing provider infoPENMETSA, SUSHMA
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1982733762assigned 03/05/2007
33bProvider typePediatrics Physician
28Total paid$10K
24GClaims649
24DCodes billed10
24AFirst – last monthJan 2019 – Oct 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#935 of 1,136
Median peer was paid$329K
This provider vs. median0.0×
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 | 351 | $3K | |
| 2020 | 218 | $1K | |
| 2021 | 18 | $1K | |
| 2023 | 62 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 45% | 55 | 46 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24% | 295 | 108 | $2K |
| 99381 | 12% | 13 | 13 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.7% | 107 | 93 | $823.56 |
| 86580 | 4.3% | 63 | 61 | $406.98 | |
| 90461 | 3.9% | 59 | 39 | $375.23 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 12 | 12 | $158.73 |
| 83655 | 0% | 12 | 12 | $0.00 | |
| 99072 | 0% | 16 | 16 | $0.00 | |
| 96161 | 0% | 17 | 17 | $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.