What is Sushma Kaul's specialty?

Sushma Kaul (NPI 1952317091) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Utica, NY.

Where does Sushma Kaul practice?

Sushma Kaul practices in Utica, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1952317091.

How much does Medicare pay Sushma Kaul?

Sushma Kaul (NPI 1952317091) received approximately $115K in total Medicare Part B payments, serving 362 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events