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    OpenPayerNPI Medicare & MedicaidSunitha Sukumaran
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    Sunitha Sukumaran — Billing Profile & Reimbursement Data

    NPI 1750359055 · Clifton Park, NY · Hematology & Oncology Physician

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    Sunitha Sukumaran is a hematology & oncology physician provider located in Clifton Park, New York. This profile covers 62 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSunitha Sukumaran
    Address3 Crossing Blvd Ste 1
    CityClifton Park
    StateNY
    ZIP12065
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 10, 2006

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

    Payer SourceTotal Paid
    Medicare$365K
    Medicaid$790

    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.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg3,800$40$163.4K
    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…440$90$39.1K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…20$1,190$19.1K
    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…190$100$18.3K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…60$200$12.2K
    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…170$60$10.3K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries20$410$8.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.690$10$6.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…820$10$6.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.800$10$6.4K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927161609,900$40$505.5K
    7881529633080$690$116.6K
    A955216620060$350$42.8K
    992143,49330,45090$100$19K
    96413122380110$110$18.1K
    741771,1061,350110$100$14.8K
    992138,80231,44080$70$12.1K
    G049863040$210$11K
    992155,3798,28040$140$10.1K
    Q0138325020,910$1$10K

    Showing 1–10 of 62

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$30$780

    Medicaid: Competitive Analysis & Benchmarks

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…13,51216,550220$90$186.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sunitha Sukumaran, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronson Methodist HospitalMIHospitalist Physician$0$64.8M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo WisconsinWICritical Access Hospital$0$19.6M
    Sara FlemingILAnatomic Pathology & Clinical Pathology Physician$24.6K$12.9M
    Bronson Battle Creek HospitalMIInternal Medicine Physician$0$9.8M
    Swedishamerican HospitalILGeneral Acute Care Hospital$0$4.8M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Bryan KimILRetina Specialist (Ophthalmology) Physician$2.2M$221.8K
    Rahul RavillaNYHematology & Oncology Physician$1.8M$320
    John LeeNJInterventional Cardiology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcdonnell And Mcmahon Pediatric Dentistry PLLCNYPediatric Dentistry$0$57M
    Dorothy LacombeNYAdult Health Nurse Practitioner$1.4M$24.3K
    Northway Spc LLCNYAmbulatory Surgical Clinic/Center$848.2K$380.7K
    Clifton Park Asc LLCNYAmbulatory Surgical Clinic/Center$817.2K$32.9K
    Howard SchlossbergNYHematology & Oncology Physician$816.2K$0
    Justin JulianoNYRadiation Oncology Physician$754.9K$0
    Adriana LisinschiNYHematology & Oncology Physician$556.2K$0
    Charles GordonNYInterventional Pain Medicine Physician$175.3K$4.5K
    John TaggertNYSurgery Physician$142K$740
    Christina PaddonNYFamily Nurse Practitioner$110.8K$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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Sunitha Sukumaran — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Sunitha Sukumaran — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York