Active NPI 1609818756 Individual Practitioner Female Practitioner

Dr. Suma Bala Ghanta , MD

General Practice • Flanders, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Suma Ghanta, MD is a certified General Practice practicing in Flanders, NJ. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Ghanta delivers high-quality medical care to the local community at 183 ROUTE 206.

Dr. Ghanta is affiliated with Advocare, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

183 Route 206

Flanders, NJ 078369050

Telephone 9733473277

Fax 9733473141

Associated Practice Facility / Clinic

🏢 Advocare, Llc Facility NPI 1225071038

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Flanders, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -3.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Flanders, NJ (269 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghanta (28 Years) 28 Yrs

Flanders Specialty Average (31.5 Years) 31.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	112	$284.00	$140.45
99213 Established patient office or other outpatient visit, typically 15 minutes	106	95	$210.00	$98.11
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	78	61	$40.00	$17.54
G0008 Administration of influenza virus vaccine	43	41	$38.87	$35.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$290.00	$141.62
90662 Influenza vaccine split virus, preservative free	41	40	$100.00	$81.10
G0444 Annual depression screening, 5 to 15 minutes	40	40	$42.00	$21.04
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	36	36	$40.00	$21.22
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$53.64	$15.86
90480 Admn sarscov2 vacc 1 dose	14	14	$97.14	$47.32
81002 Urinalysis, manual test	11	11	$9.18	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	97	$284.00	$141.69
99213 Established patient office or other outpatient visit, typically 15 minutes	147	120	$210.00	$100.28
G0008 Administration of influenza virus vaccine	60	58	$36.70	$33.97
90662 Influenza vaccine split virus, preservative free	57	56	$100.00	$71.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$290.00	$140.03
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$50.00	$16.27
G0444 Annual depression screening, 5 to 15 minutes	37	37	$42.00	$20.36
81002 Urinalysis, manual test	18	18	$7.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	113	$284.00	$144.24
99213 Established patient office or other outpatient visit, typically 15 minutes	111	92	$210.00	$101.66
G0008 Administration of influenza virus vaccine	50	50	$36.70	$33.70
93000 Routine ekg using at least 12 leads including interpretation and report	49	48	$50.00	$16.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$290.00	$147.46
90662 Influenza vaccine split virus, preservative free	47	47	$100.00	$68.47
G0444 Annual depression screening, 5 to 15 minutes	38	38	$42.00	$21.32
G0009 Administration of pneumococcal vaccine	17	17	$36.70	$34.02
90471 Administration of 1 vaccine	16	16	$56.00	$19.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	112	$262.29	$147.07
99213 Established patient office or other outpatient visit, typically 15 minutes	103	86	$193.98	$103.09
G0008 Administration of influenza virus vaccine	71	71	$36.70	$19.52
90662 Influenza vaccine split virus, preservative free	67	67	$100.00	$65.13
93000 Routine ekg using at least 12 leads including interpretation and report	49	48	$45.10	$17.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$280.18	$150.73
G0444 Annual depression screening, 5 to 15 minutes	38	38	$41.32	$21.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$324.00	$125.60
G0009 Administration of pneumococcal vaccine	19	19	$36.70	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	123	$236.00	$120.91
99213 Established patient office or other outpatient visit, typically 15 minutes	103	84	$162.00	$82.19
G0008 Administration of influenza virus vaccine	66	63	$36.70	$19.00
90662 Influenza vaccine split virus, preservative free	57	56	$99.12	$60.77
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$38.00	$19.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$254.00	$130.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$308.57	$118.78
G0009 Administration of pneumococcal vaccine	20	20	$36.70	$19.01
G0444 Annual depression screening, 5 to 15 minutes	19	19	$40.00	$20.78
81002 Urinalysis, manual test	12	12	$7.00	$3.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	123	$239.46	$119.11
99213 Established patient office or other outpatient visit, typically 15 minutes	128	90	$164.05	$81.98
G0008 Administration of influenza virus vaccine	65	65	$37.54	$18.67
90662 Influenza vaccine split virus, preservative free	57	57	$77.81	$53.93
93000 Routine ekg using at least 12 leads including interpretation and report	43	41	$38.67	$19.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$258.44	$128.48
G0009 Administration of pneumococcal vaccine	18	17	$46.87	$18.67
81002 Urinalysis, manual test	13	11	$8.08	$3.41
90670 Pneumococcal vaccine for injection into muscle	12	11	$399.00	$209.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	139	$241.09	$119.28
99213 Established patient office or other outpatient visit, typically 15 minutes	172	135	$163.79	$80.60
G0008 Administration of influenza virus vaccine	82	82	$55.00	$23.23
90662 Influenza vaccine split virus, preservative free	71	71	$73.00	$52.30
G0009 Administration of pneumococcal vaccine	45	44	$54.78	$23.23
93000 Routine ekg using at least 12 leads including interpretation and report	42	40	$38.88	$19.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$264.41	$129.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$140.16	$105.59
81002 Urinalysis, manual test	30	27	$8.90	$3.41
96127 Assessment of emotional or behavioral problems	27	27	$15.00	$7.45
90670 Pneumococcal vaccine for injection into muscle	11	11	$375.00	$199.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	136	$233.00	$117.29
99213 Established patient office or other outpatient visit, typically 15 minutes	171	118	$159.00	$80.60
G0008 Administration of influenza virus vaccine	85	83	$49.59	$29.01
90662 Influenza vaccine split virus, preservative free	83	81	$65.49	$47.53
93000 Routine ekg using at least 12 leads including interpretation and report	50	50	$40.24	$19.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$270.00	$128.27
G0009 Administration of pneumococcal vaccine	32	30	$48.13	$29.01
81002 Urinalysis, manual test	28	24	$7.61	$3.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$123.76	$95.33
90670 Pneumococcal vaccine for injection into muscle	14	14	$325.50	$186.36
69210 Removal of impacted ear wax	13	11	$108.31	$54.68
92552 Test for hearing various pitches using earphone	12	12	$71.67	$37.31

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA07257600

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8825106 (NJ)

Hospital & Practice Group Affiliations

Advocare, Llc

183 Us 206, Flanders, NJ 078369261

Phone: 9733473277

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Rebecca Keenan , PA-C

Physician Assistant

NPI 1164623740

Physician Assistant (Certified)

Dr. Anthony Miccio , MD

General Practice

NPI 1346280567

Doctor of Medicine (M.D.)

Dr. Samuel Friedman , MD

Family Medicine

NPI 1366836611

Doctor of Medicine (M.D.)

Dr. Karen Peters , DO

General Practice

NPI 1609822501

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Choe , DO

General Practice

NPI 1629081211

Doctor of Osteopathic Medicine (D.O.)

Chikara Hwang , PA-C

Physician Assistant

NPI 1750619896

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2010

Registered at 183 ROUTE 206, FLANDERS, NJ 078369050 (Tel: 9733473277)

📍

Updated Business Mailing Address March 22, 2010

Registered at 402 LIPPINCOTT DR, MARLTON, NJ 080534112 (Tel: 8567823300)

👤

Provider Name / Credentials Updated March 22, 2010

Recorded as SUMA GHANTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

General Practice (License #25MA07257600 in NJ)

🟢

Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609818756

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2006

Last Update: March 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

402 Lippincott Dr

Marlton, NJ 080534112

Phone: 8567823300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.