Active NPI 1790718633 Individual Practitioner Female Practitioner

Dr. Sirisha Sesham , MD

Internal Medicine • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sirisha Sesham, MD is a certified Internal Medicine practicing in Spokane, WA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Sesham delivers high-quality medical care to the local community at 801 W 5TH AVE.

Dr. Sesham is affiliated with Multicare Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 W 5th Ave
Suite 301

Spokane, WA 992042823

Telephone 5094733633

Fax 5094733634

Associated Practice Facility / Clinic

🏢 Ehs Pulmonary & Critical Care, Llc Facility NPI 1356448203

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +8.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

235 Specialists

Practicing in Spokane, WA (3169 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sesham (27 Years) 27 Yrs

Spokane Specialty Average (18.7 Years) 18.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	134	$215.00	$75.85
99239 Hospital discharge day management, more than 30 minutes	119	115	$318.00	$110.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	30	$133.00	$48.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	40	$318.00	$110.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$410.00	$126.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$602.00	$168.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	420	160	$206.00	$77.29
99239 Hospital discharge day management, more than 30 minutes	115	111	$305.00	$111.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	32	$112.00	$48.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	57	$297.00	$114.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$577.00	$168.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$393.00	$128.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	431	190	$204.00	$68.69
99239 Hospital discharge day management, more than 30 minutes	126	125	$301.00	$102.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	118	79	$292.00	$98.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	39	$111.00	$37.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$568.00	$196.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$385.00	$133.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	566	208	$204.00	$69.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	170	93	$292.00	$101.83
99239 Hospital discharge day management, more than 30 minutes	151	148	$301.00	$104.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	25	$111.00	$36.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$568.00	$198.57
99217 Hospital observation care on day of discharge	24	24	$205.00	$71.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$385.00	$134.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	693	264	$191.00	$73.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	347	157	$276.00	$105.60
99239 Hospital discharge day management, more than 30 minutes	237	220	$285.00	$108.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	86	$537.00	$204.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$366.54	$136.99
99217 Hospital observation care on day of discharge	25	25	$193.00	$71.89
99220 Hospital observation care, typically 70 minutes	11	11	$492.00	$186.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	415	172	$282.45	$73.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	279	126	$456.31	$104.54
99239 Hospital discharge day management, more than 30 minutes	189	183	$441.04	$107.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	132	$820.19	$203.81
99220 Hospital observation care, typically 70 minutes	32	32	$793.91	$183.64
99217 Hospital observation care on day of discharge	20	20	$252.00	$73.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$347.00	$137.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	568	224	$451.00	$72.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	532	217	$650.00	$104.16
99239 Hospital discharge day management, more than 30 minutes	277	258	$670.00	$108.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	91	$1267.00	$202.96
99217 Hospital observation care on day of discharge	33	33	$453.00	$73.29
99220 Hospital observation care, typically 70 minutes	26	26	$1161.00	$186.38
99291 Critical care, first 30-74 minutes	11	11	$1400.00	$222.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	762	319	$451.00	$69.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	358	197	$650.00	$100.55
99239 Hospital discharge day management, more than 30 minutes	266	256	$670.00	$104.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	117	$1267.00	$195.08
99220 Hospital observation care, typically 70 minutes	30	28	$1161.00	$179.80
99217 Hospital observation care on day of discharge	24	23	$453.00	$70.63
99291 Critical care, first 30-74 minutes	23	21	$1400.00	$215.17
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$635.00	$97.62
99238 Hospital discharge day management, 30 minutes or less	17	17	$455.00	$70.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00046558

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8462475 (WA)

Hospital & Practice Group Affiliations

Multicare Health System

4700 Point Fosdick Dr, Gig Harbor, WA 983351706

Multicare Health System

311 S L St, Tacoma, WA 984053720

Practice Associates & Co-Workers

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

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NPI 1154332930

Advanced Registered Nurse Practitioner

Joan Corkey-O'hare , ARNP

Nurse Practitioner

NPI 1205906328

Advanced Registered Nurse Practitioner

Dr. Ronda Kasper-Braithwaite , AUD MA

Audiologist

NPI 1215918040

AUDMA

Dr. Steven Hong , MD

Internal Medicine - Gastroenterology

NPI 1245227156

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 03, 2019

Registered at 200 CORPORATE BLVD, LAFAYETTE, LA 705083870 (Tel: 5098382531)

✅

NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2008

Registered at 801 W 5TH AVE, SUITE 301, SPOKANE, WA 992042823 (Tel: 5094733633)

📍

Updated Business Mailing Address June 19, 2008

Registered at PO BOX 403631, ATLANTA, GA 303843631 (Tel: 7707400895)

👤

Provider Name / Credentials Updated June 19, 2008

Recorded as SIRISHA SESHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Internal Medicine (License #MD00046558 in WA)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790718633

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: July 03, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

200 Corporate Blvd

Lafayette, LA 705083870

Phone: 5098382531

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.