SURINDER PAL, M.D,

NPI 1538245139, individual, Ardsley, NY, Internal Medicine

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month, but with up to 373 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.

score 50 of 100, rank 9477, $192K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Jan 2024	More hours than a day holds at a conservative unit price	21.1	71.3	47.5	64.0	371	1	99306 99308 99309	$36K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SURINDER PAL, M.D,
Type	Individual, sole proprietor
Status	Active
NPI issued	October 27, 2006, last updated July 8, 2007
Practice location	80 WOOD AVE, Ardsley, NY 10502-1022, 914-479-5201
Specialties	Internal Medicine (207R00000X, primary, license 201155 NY)

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
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	$246K	66%	$38	$21 (top 5% from $84)	78th percentile
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	$108K	29%	$25	$14 (top 5% from $58)	75th percentile
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	$8K	2%	$21	$37 (top 5% from $100)	25th percentile
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	$4K	1%	$9.72	$7.86 (top 5% from $34)	60th percentile
99454	Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	$4K	1%	$8.48	$9.36 (top 5% from $41)	46th percentile
99457	Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	$3K	1%	$5.00	$5.75 (top 5% from $34)	46th percentile
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	$1K	0%	$20	$30 (top 5% from $134)	too few months to rank
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	$996	0%	$15	$22 (top 5% from $71)	too few months to rank

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
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	5,561	647	$517K	$214	$120	1.8x	2.0x (90th percentile 3.3x)
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	2,158	422	$140K	$157	$83	1.9x	2.0x (90th percentile 3.4x)
99457	Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	479	117	$21K	$107	$56	1.9x	2.2x (90th percentile 3.5x)
99454	Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	407	109	$18K	$122	$56	2.2x	2.6x (90th percentile 4.2x)
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	102	94	$16K	$416	$202	2.1x	1.9x (90th percentile 3.1x)
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	113	103	$13K	$269	$149	1.8x	2.0x (90th percentile 3.3x)
99315	Nursing facility discharge day management, 30 minutes or less	55	55	$4K	$169	$91	1.9x	2.0x (90th percentile 3.4x)
99453	Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	91	91	$2K	$51	$24	2.1x	2.4x (90th percentile 3.8x)

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

13 providers in Westchester County, NY carry an indicator in the public record, with $39.3M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	HEALING THERAPEUTICS PHYSICAL THERAPY PLLC Port Chester, NY, ranked 356	$3K	Listed on the Medicare revocation list since September 14, 2023. Medicaid still paid claims in 1 later month, $2,660 in total.
3	PREFERRED CERTIFIED, LLC Mount Vernon, NY, ranked 3864	$0	Part of provider network D1-00113, ranked 113 nationally.
4	MARY DIDIE Valhalla, NY, ranked 7343	$29.2M	Hours beyond a day in 49 months under one organization, which can be supervisory billing. Records needed. and 1 more
4	CHRISTINA RAWLS-DOLIN Mount Vernon, NY, ranked 7513	$37K	Hours beyond a day in 1 month under one organization, which can be supervisory billing. Records needed. and 2 more
4	DANIEL KUSHNER White Plains, NY, ranked 8577	$2.9M	Hours beyond a day in 4 months, but with up to 782 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	ROBERT SAMANIEGO Rye, NY, ranked 9337	$317K	Hours beyond a day in 4 months under one organization, which can be supervisory billing. Records needed.
5	CAMERON BUDENZ Tarrytown, NY, ranked 10044	$1.4M	Medicaid dollars per patient on code 95004 ($371 per patient-month) sit in the top 5% of every provider billing that code.
5	MUHAMMAD NAEEM Yonkers, NY, ranked 10315	$393K	Medicaid dollars per patient on code 99308 ($90 per patient-month) sit in the top 5% of every provider billing that code.

All 13 in NY

Recent enforcement in NY

All releases

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

DOJIndictedAug 20, 2026

Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme

Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.

DOJIndictedAug 20, 2026

Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme

Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.

DOJCivil settlementAug 17, 2026

Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations

The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.

DOJSentencedJul 21, 2026

Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme

Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.

DOJIndictedJul 2, 2026

Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme

The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

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