JASDEEP SIDANA, MD
NPI 1558482075, individual, Orange, CT, Internal Medicine, Pulmonary Disease
- Hours beyond a day in 10 months, but with up to 2854 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 95165 ($1235 per patient-month) sit in the top 5% of every provider billing that code.
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 2018 | More hours than a day holds, even counting one unit per claim line | 34.9 | 58.7 | 39.2 | 52.8 | 1866 | 2 | 99203 99204 99213 99214 | $217K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 40.1 | 67.3 | 44.9 | 62.8 | 1902 | 2 | 99203 99204 99213 99214 | $225K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 29.6 | 49.2 | 32.8 | 46.2 | 1536 | 2 | 99203 99204 99213 99214 | $181K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 37.0 | 59.9 | 39.9 | 57.0 | 1835 | 3 | 99203 99204 99213 99214 | $216K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 34.1 | 57.1 | 38.1 | 51.3 | 1845 | 3 | 99203 99204 99213 99214 | $211K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 29.5 | 49.5 | 33.0 | 47.2 | 1563 | 3 | 99203 99204 99213 99214 | $176K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 33.0 | 55.2 | 36.8 | 51.9 | 1747 | 3 | 99203 99204 99213 99214 | $204K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 42.2 | 66.3 | 44.2 | 59.6 | 2106 | 3 | 99203 99204 99213 99214 | $246K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 42.9 | 63.6 | 42.4 | 63.6 | 1958 | 3 | 99203 99204 99213 99214 | $228K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 24.4 | 35.1 | 23.4 | 31.6 | 1233 | 3 | 99203 99204 99213 99214 | $129K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JASDEEP SIDANA, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 2, 2007, last updated June 4, 2018 |
| Practice location | 521 BOSTON POST ROAD, Orange, CT 06477, 203-523-0971 |
| Specialties | Internal Medicine, Pulmonary Disease (207RP1001X, primary, license 045143 CT) Internal Medicine, Critical Care Medicine (207RC0200X, license 045143 CT) |
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.
| 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 | $1.1M | 24% | $94 | $60 (top 5% from $133) | 82nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $798K | 17% | $152 | $95 (top 5% from $171) | 90th percentile | |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $755K | 16% | $1K | $187 (top 5% from $1K) | 97th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $486K | 10% | $52 | $44 (top 5% from $70) | 79th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $437K | 9% | $64 | $44 (top 5% from $110) | 76th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $254K | 5% | $23 | $16 (top 5% from $128) | 68th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $172K | 4% | $79 | $67 (top 5% from $121) | 67th percentile | |
| 95810 | Sleep study in sleep lab (6 years or older) | $147K | 3% | $442 | $250 (top 5% from $851) | 70th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 27 | 27 | $4K | $357 | $140 | 2.6x | 2.0x (90th percentile 3.2x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 20 | 20 | $2K | $350 | $128 | 2.7x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | 24 | $2K | $247 | $91 | 2.7x | 2.2x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | 12 | $1K | $452 | $167 | 2.7x | 2.4x (90th percentile 3.9x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | 18 | $1K | $304 | $113 | 2.7x | 2.4x (90th percentile 3.9x) |
| 96127 | Assessment of emotional or behavioral problems | 22 | 19 | $72 | $40 | $5 | 8.3x | 3.7x (90th percentile 7.2x) |
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 Orange, CT carry an indicator in the public record, with $15.7M 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 |
|
| 1 | ANATOLY BRAYLOVSKY Wallingford, CT, ranked 488 | $0 |
|
| 1 | FAMILY PRACTICE OF GREATER NEW HAVEN, LLC Wallingford, CT, ranked 514 | $0 |
|
| 1 | LP COUNSELING SERVICES, LLC North Haven, CT, ranked 673 | $0 |
|
| 3 | TOTALITY HOME HEALTH CARE AGENCY, LLC Milford, CT, ranked 779 | $2.3M |
|
| 3 | WHITNEY MANOR OPERATING COMPANY LLC Hamden, CT, ranked 1451 | $35K |
|
| 3 | ADVANCED CENTER FOR NURSING & REHABILITATION LLC New Haven, CT, ranked 1471 | $27K |
|
| 3 | NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC New Haven, CT, ranked 1479 | $24K |
|
Recent enforcement in CT
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.