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    OpenPayerNPI Medicare & MedicaidSushan Joshi
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    Sushan Joshi — Billing Profile & Reimbursement Data

    NPI 1982851143 · Torrance, CA · Internal Medicine Physician

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    Sushan Joshi is a internal medicine physician provider located in Torrance, California. This profile covers 53 Medicare and 5 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
    OrganizationSushan Joshi
    Address3400 Lomita Blvd Ste 104
    CityTorrance
    StateCA
    ZIP90505
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 19, 2008

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

    Payer SourceTotal Paid
    Medicare$223.8K
    Medicaid$13.9K

    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.

    53 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…710$70$49K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit280$120$33.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…90$280$24.1K
    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…340$50$18K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…170$70$12.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$60$9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$120$7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.270$20$5.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$190$5.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…60$90$5.4K

    Showing 1–10 of 53

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    53 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8302141070$20$68.2K
    84443224620120$20$39.4K
    80061191700110$10$35.3K
    80053262950110$10$30.1K
    992338,18811,530120$100$26.2K
    992143,02737,970120$90$23.2K
    8415327733090$20$22.5K
    82607177440100$10$19.1K
    992916,6227,22060$180$18.6K
    850254261,210150$10$17.2K

    Showing 1–10 of 53

    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.

    5 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…340$40$12.9K
    90686This 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…30$20$410
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.20$10$240
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.20$10$120
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.10$10$100

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    5 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…8,01613,300640$40$169.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,4481,480560$10$62.2K
    90686This 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…3,1923,770240$1$8.8K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.3,4033,850290$1$8.2K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.617720140$1$4.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Area Hospital DistrictORGeneral Acute Care Hospital$0$8.7M
    Randall NguyenCAOphthalmology Physician$2.9M$118.3K
    Michael RohCAOphthalmology Physician$1.6M$956.2K
    Julie GasperiniCAOphthalmology Physician$1.5M$0
    Andrew BreithauptCAMOHS-Micrographic Surgery Physician$1.5M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Shrikant TamhaneCAFamily Medicine Physician$722.5K$353.8K
    Roy BlumenstrauchCASpecialist$1M$0
    Erik YoungORDiagnostic Radiology Physician$648.6K$0
    Ashley BuiceMSDiagnostic Radiology Physician$646.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pacific Endo-surgical Center LPCAAmbulatory Surgical Clinic/Center$937.7K$0
    Skypark Surgery Center LLCCAAmbulatory Surgical Clinic/Center$881.6K$0
    Torrance Surgery Center, LPCAAmbulatory Surgical Clinic/Center$795K$30.8K
    Farhad NowzariCAUrology Physician$714.1K$0
    John MaherCAOphthalmology Physician$643.1K$21.2K
    David KlashmanCARheumatology Physician$572.9K$0
    Lawrence FlechnerCAUrology Physician$571.6K$0
    Kambiz DardashtiCAUrology Physician$541.3K$0
    Paul KimCARheumatology Physician$521.1K$0
    Torrance Endoscopy And Surgical Affiliates, IncCAAmbulatory Surgical Clinic/Center$481.5K$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.

    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. California Distribution
    Sushan Joshi — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Sushan Joshi — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California