SULE KARAKUS, MD
NPI 1972632560, individual, Bellevue, WA, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 2 months, but with up to 125 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 2019 | More hours than a day holds, even counting one unit per claim line | 24.3 | 15.2 | 10.1 | 13.6 | 107 | 1 | 99223 99233 99239 | $23K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 27.3 | 14.4 | 9.6 | 13.7 | 116 | 1 | 99223 99232 99233 99239 | $21K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SULE KARAKUS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 2, 2007, last updated September 8, 2015 |
| Practice location | 12835 BEL RED RD STE 100, SUITE 145, Bellevue, WA 98005-2625, 425-460-7114 |
| Mailing address | PO BOX 34703, Seattle, WA 98124-1703 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license MD00042238 WA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $339K | 76% | $236 | $96 (top 5% from $249) | 94th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $33K | 7% | $142 | $67 (top 5% from $174) | 91st percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $30K | 7% | $86 | $81 (top 5% from $170) | 55th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $26K | 6% | $41 | $49 (top 5% from $101) | 35th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $10K | 2% | $102 | $37 (top 5% from $103) | too few months to rank | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $2K | 0% | $16 | $128 (top 5% from $249) | too few months to rank | |
| 99226 | Medicaid service code | $1K | 0% | $33 | $50 (top 5% from $142) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $998 | 0% | $3.17 | $88 (top 5% from $210) | 4th percentile |
In this area
16 providers in King County, WA carry an indicator in the public record, with $7.1M at stake between them. The most common is part of a provider network, on 9 of them, followed by more hours than a day holds on 6. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | WILLIAM WASHINGTON Seattle, WA, ranked 621 | $0 |
|
| 3 | COVENANT LIVING WEST Mercer Island, WA, ranked 2295 | $0 |
|
| 3 | EDEN HOME HEALTH OF KING COUNTY, LLC Tukwila, WA, ranked 3042 | $0 |
|
| 3 | HOME HEALTH SEATTLE LLC Federal Way, WA, ranked 3582 | $0 |
|
| 3 | RENTON SNF HEALTHCARE LLC Renton, WA, ranked 4334 | $0 |
|
| 3 | AVALON CARE CENTER - FEDERAL WAY LLC Federal Way, WA, ranked 4360 | $0 |
|
| 3 | CONTINUUM CARE OF KING LLC Tukwila, WA, ranked 5297 | $0 |
|
| 3 | AVALON CARE CENTER-KENT LLC Kent, WA, ranked 5676 | $0 |
|
Recent enforcement in WA
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.