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    OpenPayerNPI Medicare & MedicaidThomas Susko
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    Thomas Susko — Billing Profile & Reimbursement Data

    NPI 1245384106 · Santa Monica, CA · Rheumatology Physician

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    Thomas Susko is a rheumatology physician provider located in Santa Monica, California. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Susko
    Address2021 Santa Monica Blvd
    CitySanta Monica
    StateCA
    ZIP90404
    TaxonomyRheumatology Physician
    NPI EnumeratedJanuary 22, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$539.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)6,550$30$222.7K
    J0897Injection, denosumab, 1 mg10,440$20$187.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…550$70$40K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…260$100$27.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…140$110$16.3K
    73218In this diagnostic procedure, the provider performs a magnetic resonance imaging imaging of a patient’s upper extremity for a location other than the joint of the extremity. He performs the procedure…60$210$13.7K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.180$60$11K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$120$5.7K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$180$5.6K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…70$70$4.8K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012943806,610$30$305.3K
    J08971111,0303,060$20$91.4K
    96413340620170$120$26.9K
    9921410,71537,970120$90$23.2K
    992157,89815,36050$130$14.4K
    9640181210140$70$14.2K
    992132,90034,66080$70$13.2K
    7322123679040$130$8.7K
    992053,8458,36030$170$7.2K
    73218410020$190$4.4K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Thomas Susko, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0
    Sean FischerCAHematology & Oncology Physician$3.2M$0
    Omid HamidCAHematology & Oncology Physician$2.7M$0
    Thomas HanscomCAOphthalmology Physician$2.4M$0
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Jesse MillsCAUrology Physician$1.9M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Joshua FriedlanderCADiagnostic Radiology Physician$1.4M$0
    Robert KrasnyCAVascular & Interventional Radiology Physician$1.3M$0
    George GrifkaCACardiovascular Disease Physician$868.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Thomas Susko — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California