PROVIDER PROFILE · NPI 1952317091

Sushma KaulMD

Pulmonary DiseaseUtica, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

766

Unique beneficiaries

—

Total services

1,229

Distinct HCPCS

Medicare payment

$108K

Peer benchmark

Total Medicare services vs. 811 Pulmonary Disease providers in NY — above median (cohort median 790).

PRESCRIBING · PART D · 2024

Total Rx claims

1,725

Beneficiaries

—

Total drug cost

$1.5M

Distinct drugs

Brand share

73.9%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter301 claims

Albuterol Sulfate256 claims

Montelukast Sodium170 claims

Fluticasone/Vilanterol146 claims

Budesonide/Glycopyr/Formoterol100 claims

QUALITY · MIPS · 2024

Final MIPS score

85.3

Quality

75.1

Cost

69.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.43%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Education$62

REFERRAL NETWORK

Where Sushma Kaul's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 88 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MVHS INC	350	1,660
CENTREX CLINICAL LABORATORIES INC	283	2,128
Brian Burke Diagnostic Radiology · Utica, NY	185	1,043
Raphael Alcuri Diagnostic Radiology · Utica, NY	128	629
Nancy Shaheen Diagnostic Radiology · New Hartford, NY	122	616
Maurice Oehlsen Internal Medicine · Utica, NY	115	459
Srinivas Paidy Diagnostic Radiology · Utica, NY	112	602
Kenneth Murphy Diagnostic Radiology · Utica, NY	93	541
Gordon Archibald Diagnostic Radiology · Eden Prairie, MN	92	531
Utica Ambulance Service, Inc. Ambulance Service Provider · Utica, NY	90	381
Milind Desai Diagnostic Radiology · Columbus, OH	79	334
Emile Wassel Nephrology · Utica, NY	73	1,195

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history