Active NPI 1215236955 Individual Practitioner Male Practitioner

Dr. Umesh Babusukumar , MD

Internal Medicine • Menomonee Falls, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Umesh Babusukumar, MD is a certified Internal Medicine practicing in Menomonee Falls, WI. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Babusukumar delivers high-quality medical care to the local community at W180N8085 TOWN HALL RD.

Dr. Babusukumar is affiliated with Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc 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, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

W180n8085 Town Hall Rd

Menomonee Falls, WI 530513518

Telephone 2625321300

Associated Practice Facility / Clinic

🏢 Forward Orthopedics, S.c. Facility NPI 1386647287

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Menomonee Falls, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -4.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

43 Specialists

Practicing in Menomonee Falls, WI (2181 Statewide)

Telehealth Adoption Rate

25.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Babusukumar (16 Years) 16 Yrs

Menomonee Falls Specialty Average (20.0 Years) 20.0 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	138	68	$276.70	$74.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	39	$399.32	$110.69
99239 Hospital discharge day management, more than 30 minutes	61	60	$408.66	$107.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$768.16	$164.08

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	84	40	$262.98	$75.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	29	$381.05	$112.95
99239 Hospital discharge day management, more than 30 minutes	35	34	$390.57	$108.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	71	$368.11	$97.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	36	$255.12	$67.68
99239 Hospital discharge day management, more than 30 minutes	57	55	$379.60	$100.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$378.53	$94.16
99217 Hospital observation care on day of discharge	16	16	$256.50	$67.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	92	$358.67	$98.95
99239 Hospital discharge day management, more than 30 minutes	69	67	$369.70	$101.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	29	$249.43	$67.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$689.20	$191.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$369.95	$96.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$560.86	$130.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	292	117	$350.34	$102.37
99239 Hospital discharge day management, more than 30 minutes	69	68	$359.75	$105.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$679.67	$198.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$486.32	$109.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$242.67	$70.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$549.58	$125.76
99217 Hospital observation care on day of discharge	11	11	$242.36	$70.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	403	157	$341.36	$100.75
99239 Hospital discharge day management, more than 30 minutes	132	128	$351.97	$103.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	88	$666.80	$196.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	81	$473.36	$107.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$536.67	$124.55
99217 Hospital observation care on day of discharge	21	21	$238.38	$70.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$236.50	$70.57
99220 Hospital observation care, typically 70 minutes	15	15	$610.40	$180.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	489	186	$339.00	$99.89
99239 Hospital discharge day management, more than 30 minutes	160	152	$349.00	$102.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	83	$659.00	$194.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	25	$235.00	$68.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$534.00	$123.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$476.25	$105.22
99217 Hospital observation care on day of discharge	23	23	$236.00	$70.21
99220 Hospital observation care, typically 70 minutes	16	16	$604.00	$178.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	418	156	$339.00	$100.26
99239 Hospital discharge day management, more than 30 minutes	130	128	$349.00	$103.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	94	$659.00	$194.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	18	$235.00	$69.44
99217 Hospital observation care on day of discharge	26	26	$236.00	$69.99
99220 Hospital observation care, typically 70 minutes	21	21	$604.00	$178.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$534.00	$123.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 60803

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.

Hospital & Practice Group Affiliations

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

3200 Pleasant Valley Rd, West Bend, WI 530959274

Phone: 2628367300

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

4805 S Moorland Rd, New Berlin, WI 531517401

Phone: 2627987200

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W168n11237 Western Ave, Germantown, WI 530223239

Phone: 2622535060

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518

Phone: 2622511000

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

3212 Pleasant Valley Rd, West Bend, WI 530959274

Phone: 2623346165

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Robert Heffernan , MD

Hospitalist

NPI 1255892790

Doctor of Medicine (M.D.)

Steve Blackburn , MHA, MPAS, PA-C

Physician Assistant - Surgical

NPI 1487084422

MHA, MPAS, Physician Assistant (Certified)

Suzannah Bong , PA

Physician Assistant - Surgical

NPI 1780704510

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2014

Registered at W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 530513518 (Tel: 2625321300)

📍

Updated Business Mailing Address November 07, 2014

Registered at W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 530513518 (Tel: 2625321300)

👤

Provider Name / Credentials Updated November 07, 2014

Recorded as UMESH BABUSUKUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2014

Internal Medicine (License #60803 in WI)

🟢

Initial NPI Registration & Enumeration March 21, 2011

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: 1215236955

Entity Type:

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

Enumeration Date: March 21, 2011

Last Update: November 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

W180n8085 Town Hall Rd

Menomonee Falls, WI 530513518

Phone: 2625321300

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.