Loading...
NPI 1265407266 · Poughkeepsie, NY · Internal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Sumita Mazumdar is a internal medicine physician provider located in Poughkeepsie, New York. This profile covers 32 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sumita Mazumdar |
| Address | 375 Hooker Ave |
| City | Poughkeepsie |
| State | NY |
| ZIP | 12603 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | February 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $167.7K |
| Medicare | $155.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,080 | $50 | $55.2K |
| 99213 | The 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… | 400 | $50 | $19.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 230 | $50 | $12.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 260 | $40 | $11.4K |
| 99483 | The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and… | 40 | $230 | $7.9K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 30 | $140 | $4.3K |
| G0008 | Administration of influenza virus vaccine | 130 | $30 | $4.1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 190 | $20 | $3.8K |
| G0444 | Annual depression screening, 5 to 15 minutes | 180 | $20 | $3.6K |
| 99442 | N/A | 40 | $80 | $3.4K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 1,802 | 1,990 | 200 | $110 | $30.7K |
| 99349 | 679 | 790 | 100 | $100 | $27.3K |
| 99214 | 606 | 30,450 | 90 | $100 | $19K |
| 93880 | 1,685 | 1,730 | 50 | $140 | $14.5K |
| 99483 | 87 | 160 | 40 | $230 | $12.9K |
| 99213 | 3,357 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 406 | 6,290 | 50 | $130 | $11.2K |
| 99205 | 4,042 | 4,260 | 30 | $180 | $6.4K |
| 76536 | 951 | 1,080 | 50 | $70 | $6.3K |
| 99497 | 325 | 2,060 | 40 | $70 | $6.2K |
Showing 1–10 of 32
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99493 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 710 | $100 | $69.1K |
| 99214 | The 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… | 2,400 | $30 | $64.9K |
| 99492 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 240 | $90 | $21.2K |
| 99213 | The 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… | 780 | $20 | $11.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 60 | $10 | $840 |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 310 | $1 | $310 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 100 | $1 | $100 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 30 | $1 | $80 |
| 99407 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes. | 50 | $1 | $50 |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 10 | $1 | $30 |
Showing 1–10 of 27
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 7,335 | 19,110 | 360 | $70 | $321K |
| 99214 | The 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… | 2,067 | 16,550 | 220 | $90 | $186.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 3,756 | 5,420 | 210 | $70 | $154.3K |
| 99492 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 5 | 30 | 60 | $520 | $84.7K |
| S9470 | Nutritional counseling, dietitian visit | 140 | 230 | 350 | $20 | $24.3K |
| 99493 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 7 | 60 | 100 | $90 | $21.8K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 818 | 880 | 230 | $10 | $20.1K |
| H0049 | Alcohol and/or drug screening | 273 | 420 | 250 | $10 | $12.9K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 2,614 | 3,120 | 260 | $10 | $11.8K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 1,430 | 2,420 | 170 | $10 | $11.5K |
Showing 1–10 of 27
Other providers in the same ZIP code as Sumita Mazumdar, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Childrens Medical Group | NY | Pediatrics Physician | $0 | $28.6M |
| Dutchess Ambulatory Surgical Center | NY | Ambulatory Surgical Clinic/Center | $3M | $0 |
| Deepesh Patel | NY | Internal Medicine Physician | $1.6M | $218.1K |
| Lexington Center For Recovery, Inc. | NY | Methadone Clinic | $359.8K | $823.1K |
| Kishor Zinzuvadia | NY | Psychiatry Physician | $368.7K | $362.4K |
| Scott Kahn | NY | Urology Physician | $410.9K | $10.3K |
| Kyle Taft | NY | Physical Therapist | $400.5K | $5K |
| Daniel Katz | NY | Urology Physician | $375.1K | $6.6K |
| Neil Kocher | NY | Urology Physician | $322.5K | $1.6K |
| Michael Solliday | NY | Urology Physician | $295.1K | $9.4K |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.