SUNIL CHHIBBER, M.D.
NPI 1831142850, individual, Louisville, KY, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 75 months, but with up to 742 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99232 ($206 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 | 43.3 | 76.3 | 50.9 | 68.5 | 547 | 1 | 90792 99213 99221 99222 99232 99238 | $84K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 47.4 | 78.6 | 52.4 | 73.4 | 536 | 1 | 90792 99213 99221 99222 99232 99238 | $80K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 44.9 | 78.8 | 52.5 | 74.0 | 571 | 1 | 90792 99213 99221 99222 99232 99238 | $88K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 40.9 | 69.7 | 46.5 | 66.4 | 511 | 1 | 90792 99213 99221 99222 99232 99238 | $76K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 61.6 | 73.6 | 49.1 | 66.2 | 498 | 1 | 90792 99213 99222 99232 99238 | $80K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 54.8 | 66.7 | 44.5 | 63.5 | 481 | 1 | 90792 99213 99221 99222 99232 99238 | $72K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 44.0 | 69.9 | 46.6 | 62.8 | 653 | 1 | 90792 99213 99222 99232 99238 | $81K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 57.3 | 73.1 | 48.7 | 73.1 | 513 | 1 | 90792 99213 99221 99222 99232 99238 | $78K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 44.0 | 72.3 | 48.2 | 64.9 | 629 | 1 | 90792 99213 99221 99222 99232 99238 | $83K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 39.7 | 65.8 | 43.9 | 59.8 | 536 | 1 | 90792 99213 99221 99222 99232 99238 | $72K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 34.7 | 47.1 | 31.4 | 44.0 | 490 | 1 | 90792 99213 99221 99222 99232 99238 | $61K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 36.4 | 49.5 | 33.0 | 48.7 | 493 | 1 | 99213 99221 99222 99232 99238 | $70K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 38.3 | 50.4 | 33.6 | 45.8 | 504 | 1 | 90792 99213 99221 99222 99232 99238 | $69K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 39.0 | 54.2 | 36.1 | 48.7 | 497 | 1 | 90792 99213 99221 99222 99232 99238 | $76K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 36.1 | 45.9 | 30.6 | 45.9 | 471 | 1 | 90792 99213 99221 99222 99232 99238 | $63K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 54.5 | 54.2 | 36.1 | 48.7 | 641 | 1 | 90792 99213 99221 99222 99232 99238 | $78K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 42.9 | 49.8 | 33.2 | 46.8 | 542 | 1 | 90792 99213 99221 99222 99232 99238 | $72K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 42.6 | 49.7 | 33.1 | 47.3 | 502 | 1 | 90792 99213 99221 99222 99232 99238 | $70K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 46.0 | 57.9 | 38.6 | 52.0 | 594 | 1 | 90792 99213 99221 99222 99232 99238 | $85K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 39.5 | 49.6 | 33.1 | 47.2 | 620 | 1 | 90792 99212 99213 99221 99222 99231 99232 99238 | $69K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 40.2 | 52.4 | 34.9 | 49.2 | 654 | 1 | 90792 99212 99213 99221 99222 99231 99232 99238 | $75K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 38.8 | 49.6 | 33.1 | 44.6 | 542 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $80K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 43.4 | 55.5 | 37.0 | 53.7 | 526 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $82K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 42.3 | 50.0 | 33.3 | 46.9 | 537 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $79K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 37.0 | 40.0 | 26.7 | 36.4 | 316 | 1 | 99222 99231 99232 99238 | $58K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 42.9 | 45.8 | 30.5 | 45.1 | 416 | 1 | 99213 99221 99222 99231 99232 99238 | $70K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 45.2 | 46.8 | 31.2 | 42.6 | 419 | 1 | 99213 99221 99222 99231 99232 99238 | $69K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 37.5 | 41.9 | 28.0 | 37.7 | 492 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $66K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 35.2 | 39.0 | 26.0 | 38.4 | 506 | 1 | 90792 99213 99221 99231 99232 99238 | $62K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 32.8 | 38.3 | 25.6 | 34.8 | 473 | 1 | 90792 99213 99221 99231 99232 99238 | $59K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 29.0 | 35.4 | 23.6 | 33.2 | 445 | 1 | 90792 99213 99221 99231 99232 99238 | $56K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 32.1 | 40.1 | 26.8 | 38.2 | 438 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $61K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 37.1 | 41.1 | 27.4 | 37.0 | 431 | 1 | 90792 99213 99221 99222 99231 99232 99238 | $64K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 60.7 | 34.4 | 23.0 | 33.9 | 438 | 1 | 99213 99221 99222 99231 99232 99238 | $59K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 46.7 | 33.3 | 22.2 | 31.1 | 422 | 1 | 99221 99231 99232 99238 | $52K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 49.2 | 35.8 | 23.9 | 32.2 | 509 | 1 | 99221 99231 99232 99238 | $61K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 51.5 | 39.3 | 26.2 | 35.8 | 545 | 1 | 99221 99222 99231 99232 99238 | $66K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 48.5 | 38.0 | 25.3 | 37.4 | 409 | 1 | 99221 99231 99232 99238 | $64K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 40.5 | 38.0 | 25.3 | 34.6 | 526 | 1 | 99221 99231 99232 99238 | $63K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 38.3 | 40.2 | 26.8 | 37.8 | 477 | 1 | 99221 99222 99231 99232 99238 | $69K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 44.9 | 48.7 | 32.5 | 45.7 | 518 | 1 | 99221 99222 99231 99232 99238 | $83K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 46.6 | 48.9 | 32.6 | 44.5 | 506 | 1 | 90792 99221 99231 99232 99238 | $81K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 45.2 | 51.1 | 34.1 | 50.3 | 541 | 1 | 90792 99221 99231 99232 99238 | $88K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 36.3 | 42.9 | 28.6 | 39.0 | 431 | 1 | 99221 99231 99232 99238 | $70K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 38.6 | 44.6 | 29.7 | 40.1 | 589 | 1 | 99213 99221 99231 99232 99238 | $77K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 40.8 | 43.2 | 28.8 | 42.5 | 451 | 1 | 99221 99231 99232 99238 | $72K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 33.2 | 35.6 | 23.7 | 33.2 | 448 | 1 | 99221 99231 99232 99238 | $55K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 38.1 | 40.6 | 27.1 | 36.5 | 556 | 1 | 99221 99231 99232 99238 | $69K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 44.8 | 45.2 | 30.1 | 43.1 | 658 | 1 | 90791 99212 99214 99221 99231 99232 99238 | $77K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 38.6 | 38.4 | 25.6 | 36.1 | 742 | 1 | 90791 99212 99214 99221 99231 99232 99238 | $68K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 26.4 | 27.0 | 18.0 | 24.6 | 707 | 1 | 90791 90792 99203 99212 99213 99214 99221 99231 99232 99238 | $52K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 39.0 | 33.2 | 22.1 | 32.7 | 609 | 1 | 99214 99221 99231 99232 99238 | $60K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 27.9 | 18.6 | 25.1 | 647 | 1 | 90792 99212 99214 99221 99231 99232 99238 | $54K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 26.4 | 25.4 | 16.9 | 23.1 | 529 | 1 | 90791 99212 99214 99221 99231 99232 99238 | $46K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 30.5 | 28.6 | 19.1 | 28.2 | 585 | 1 | 90791 99212 99214 99221 99231 99232 99238 | $52K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 29.9 | 27.9 | 18.6 | 25.4 | 565 | 1 | 90791 99214 99221 99231 99232 99238 | $50K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 35.6 | 35.2 | 23.5 | 33.1 | 724 | 1 | 99214 99221 99231 99232 99238 | $64K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 32.3 | 29.7 | 19.8 | 27.9 | 633 | 1 | 90791 99213 99214 99221 99231 99232 99238 | $59K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 28.7 | 25.9 | 17.2 | 23.2 | 598 | 1 | 90791 99213 99214 99221 99231 99232 99238 | $51K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 22.8 | 15.2 | 22.8 | 547 | 1 | 99213 99214 99221 99231 99232 99238 | $44K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 23.3 | 15.5 | 20.9 | 557 | 1 | 90792 99213 99214 99221 99231 99232 99238 | $47K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 29.6 | 27.8 | 18.5 | 25.2 | 644 | 1 | 99213 99214 99221 99222 99231 99232 99238 | $54K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 25.6 | 25.0 | 16.7 | 24.6 | 589 | 1 | 99213 99214 99221 99231 99232 99238 | $49K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 31.5 | 31.6 | 21.0 | 30.1 | 529 | 1 | 99221 99231 99232 99238 | $56K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 29.7 | 28.2 | 18.8 | 26.5 | 539 | 1 | 99221 99231 99232 99238 | $53K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 23.8 | 15.9 | 21.6 | 505 | 1 | 99221 99231 99232 99238 | $43K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 30.4 | 28.6 | 19.1 | 28.2 | 623 | 1 | 99221 99231 99232 99238 | $54K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 29.2 | 25.9 | 17.2 | 23.2 | 695 | 1 | 99221 99231 99232 99238 | $56K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 26.5 | 20.0 | 13.3 | 18.4 | 542 | 1 | 99221 99231 99232 99238 | $41K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 26.9 | 24.1 | 16.1 | 23.8 | 636 | 1 | 99214 99221 99222 99231 99232 99238 | $53K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 31.6 | 25.1 | 16.7 | 25.1 | 739 | 1 | 99221 99222 99231 99232 99238 | $54K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 24.0 | 19.8 | 13.2 | 17.8 | 583 | 1 | 99221 99222 99232 99238 | $45K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 24.4 | 21.8 | 14.6 | 20.5 | 567 | 1 | 99213 99214 99221 99222 99232 99238 | $48K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.6 | 23.6 | 15.8 | 21.2 | 448 | 1 | 99213 99222 99232 99238 | $49K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 25.7 | 26.0 | 17.3 | 24.7 | 501 | 1 | 99221 99222 99232 99238 | $53K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SUNIL CHHIBBER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | May 19, 2006, last updated September 2, 2015 |
| Practice location | 2020 NEWBURG RD, Louisville, KY 40205-1803, 502-479-4433 |
| Mailing address | 100 E LIBERTY ST, SUITE 800, Louisville, KY 40202-1434 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 38329 KY) |
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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $3.5M | 65% | $206 | $67 (top 5% from $174) | 97th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $434K | 8% | $51 | $48 (top 5% from $80) | 55th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $345K | 6% | $82 | $37 (top 5% from $103) | 90th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $342K | 6% | $75 | $63 (top 5% from $137) | 64th percentile | |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $318K | 6% | $48 | $50 (top 5% from $194) | 46th percentile | |
| 99254 | Medicaid service code | $116K | 2% | $97 | $90 (top 5% from $178) | 60th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $101K | 2% | $76 | $44 (top 5% from $110) | 86th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $67K | 1% | $94 | $112 (top 5% from $313) | 39th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,730 | 321 | $143K | $152 | $68 | 2.2x | 2.6x (90th percentile 4.3x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 145 | 113 | $13K | $250 | $114 | 2.2x | 2.7x (90th percentile 4.4x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 233 | 164 | $13K | $154 | $70 | 2.2x | 2.6x (90th percentile 4.7x) |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 220 | 201 | $12K | $160 | $71 | 2.3x | 3.1x (90th percentile 5.2x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 161 | 54 | $5K | $96 | $43 | 2.3x | 2.4x (90th percentile 4.0x) |
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
59 providers in Jefferson County, KY carry an indicator in the public record, with $96.0M at stake between them. The most common is more hours than a day holds, on 45 of them, followed by paid after a public list action on 6. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAJA CUPAC Louisville, KY, ranked 65 | $9K |
|
| 1 | BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139 | $119K |
|
| 1 | MICHAEL BAKER Louisville, KY, ranked 140 | $119K |
|
| 1 | JORDAN EDELEN Louisville, KY, ranked 261 | $14K |
|
| 3 | CHRISTIAN BERKHAHN Louisville, KY, ranked 1301 | $161K |
|
| 3 | LAWRENCE PETERS Louisville, KY, ranked 1509 | $16K |
|
| 3 | MATTHEW ELKINS Louisville, KY, ranked 1571 | $7K |
|
| 3 | LOUISVILLE KY OPCO LLC Louisville, KY, ranked 1885 | $0 |
|
Recent enforcement in KY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.