MUNEEB SAMMA, MD

NPI 1114958840, individual, New Haven, CT, Hospitalist

Evidence tier

informational

Medicaid dollars per patient on code 99396 ($132 per patient-month) sit in the top 5% of every provider billing that code.

score 35 of 100, rank 9979, $1.9M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MUNEEB SAMMA, MD
Type	Individual
Status	Active
NPI issued	July 5, 2006, last updated May 30, 2012
Practice location	1450 CHAPEL ST, New Haven, CT 06511-4405, 203-789-3203
Specialties	Hospitalist (208M00000X, primary, license 0041751 CT) Hospitalist (208M00000X, license 219390 MA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$1.6M	43%	$115	$60 (top 5% from $133)	91st percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$1.4M	38%	$86	$44 (top 5% from $110)	90th percentile
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$201K	5%	$156	$95 (top 5% from $171)	91st percentile
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$167K	4%	$101	$67 (top 5% from $121)	88th percentile
99396	Medicaid service code	$95K	3%	$132	$70 (top 5% from $132)	95th percentile
99395	Medicaid service code	$88K	2%	$120	$73 (top 5% from $138)	90th percentile
96372	Injection of drug or substance under skin or into muscle	$58K	2%	$19	$12 (top 5% from $49)	79th percentile
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$47K	1%	$14	$11 (top 5% from $25)	74th percentile

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	560	151	$37K	$150	$93	1.6x	2.2x (90th percentile 3.8x)
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	125	$29K	$250	$133	1.9x	2.3x (90th percentile 3.8x)
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$5K	$244	$135	1.8x	2.3x (90th percentile 4.1x)
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$4K	$312	$174	1.8x	2.4x (90th percentile 3.9x)
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	85	19	$3K	$58	$44	1.3x	1.9x (90th percentile 3.1x)
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	22	$3K	$100	$65	1.5x	1.8x (90th percentile 2.9x)
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$3K	$233	$117	2.0x	2.4x (90th percentile 3.9x)
91320	Sarscv2 vac 30mcg trs-suc im	15	14	$2K	$159	$151	1.1x	1.0x (90th percentile 1.8x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

30 providers in New Haven, CT carry an indicator in the public record, with $15.9M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 11. 4 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	KATRIN MOSKOWITZ Waterbury, CT, ranked 169	$63K	Listed on the Medicare revocation list since September 24, 2020. Medicaid still paid claims in 34 later months, $63,386 in total.
1	ANATOLY BRAYLOVSKY Wallingford, CT, ranked 488	$0	Adjudicated (sentenced) per a Department of Justice release dated May 22, 2024. No Medicaid payments in the last 12 observed months.
1	FAMILY PRACTICE OF GREATER NEW HAVEN, LLC Wallingford, CT, ranked 514	$0	Adjudicated (sentenced) per a Department of Justice release dated May 22, 2024. No Medicaid payments in the last 12 observed months.
1	LP COUNSELING SERVICES, LLC North Haven, CT, ranked 673	$0	Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated August 6, 2024. No Medicaid payments in the last 12 observed months.
3	TOTALITY HOME HEALTH CARE AGENCY, LLC Milford, CT, ranked 779	$2.3M	Part of provider network D1-00091, ranked 91 nationally. Medicaid dollars per patient on code T1502 ($1331 per patient-month) sit in the top 5% of every provider billing that code.
3	WHITNEY MANOR OPERATING COMPANY LLC Hamden, CT, ranked 1451	$35K	Part of provider network D1-00091, ranked 91 nationally.
3	ADVANCED CENTER FOR NURSING & REHABILITATION LLC New Haven, CT, ranked 1471	$27K	Part of provider network D1-00091, ranked 91 nationally.
3	NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC New Haven, CT, ranked 1479	$24K	Part of provider network D1-00091, ranked 91 nationally.

All 30 in CT

Recent enforcement in CT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

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Referral packet

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