Internal Medicine, Critical Care Medicine · Syracuse, NY
NPI
1609125228
Since 2012
Specialty
Internal Medicine, Critical Care Medicine
Code 207RC0200X
Group practices
5
Medicare group memberships
Hospitals
2
Hospital affiliations
750 E Adams St
Syracuse, NY, 13210
Phone (315) 464-5240
Groups this clinician bills Medicare through
Medicare paid, 2024
$53K
562 services
Medicare patients, 2024
192
Average age 67
Drug cost, 2024
$1.3M
636 prescriptions
Company payments, 2023
$83.12
From 3 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Sumendra Joshi was code 99291 (critical care e&m), 190 times for 63 patients. In total Sumendra Joshi billed 562 services in 30 codes, and Medicare paid $53K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2019-06-05.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99291 Critical Care E&M | Facility | 190 | 63 | $158.32 | $30K |
| 99233 Hospital E&M - Subsequent | Facility | 115 | 67 | $86.61 | $9,960 |
| 99214 Office E&M - Established | Facility | 27 | 17 | $65.62 | $1,772 |
| 99223 Hospital E&M - Initial | Facility | 23 | 23 | $115.15 | $2,648 |
| 94060 Pulmonary Function Testing | Office | 20 | 16 | $7.41 | $148 |
| 99213 Office E&M - Established | Facility | 20 | 18 | $47.67 | $953 |
| 99214 Office E&M - Established | Office | 18 | 13 | $77.91 | $1,402 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Facility | 14 | 12 | $12.57 | $176 |
| 99232 Hospital E&M - Subsequent | Facility | 12 | 11 | $44.75 | $537 |
By year: 2022 $62K for 714 services; 2023 $51K for 647 services; 2024 $53K for 562 services.
Medicare prescription drug claims, 2024
In 2024, the drug Sumendra Joshi prescribed most often to Medicare patients was Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter), with 56 prescriptions and refills. In total Sumendra Joshi wrote 636 Medicare prescriptions that cost $1.3M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 56 | 68 | Under 11 | $40K |
| Albuterol Sulfate Hfa Albuterol Sulfate | 46 | 68 | 19 | $1,557 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 35 | 35 | Under 11 | $16K |
| Prednisone Generic | 30 | 36 | 13 | $181 |
| Symbicort Budesonide/Formoterol Fumarate | 27 | 27 | Under 11 | $6,248 |
| Azithromycin Generic | 27 | 31 | 11 | $410 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 26 | 26 | Under 11 | $2,867 |
| Trikafta Elexacaftor/Tezacaftor/Ivacaft | 26 | 26 | Under 11 | $660K |
| Roflumilast Generic | 22 | 22 | Under 11 | $1,125 |
| Spiriva Respimat Tiotropium Bromide | 22 | 22 | Under 11 | $11K |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 16 | 24 | Under 11 | $5,020 |
| Creon Lipase/Protease/Amylase | 15 | 15 | Under 11 | $57K |
| Incruse Ellipta Umeclidinium Bromide | 13 | 13 | Under 11 | $4,328 |
| Fluticasone Propionate Generic | 13 | 24 | Under 11 | $120 |
| Dulera Mometasone/Formoterol | 13 | 13 | Under 11 | $4,486 |
Brand drugs: 331 claims; generic drugs: - claims.
Money and other things of value reported by the companies
In 2023, drug and medical device companies paid Sumendra Joshi $83.12 ($83.12 in general payments such as food, travel and fees) from 3 companies. The largest payer was Mylan Specialty L.P. with $44.18.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.