Doctor profile · Federal record
Dr. Irawan Susanto, MD
Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Santa Monica, CA
- NPI 1003836610
- MIPS 84.9 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1223 16Th St, Suite 3400
Santa Monica, CA 904041217
(310) 449-0939
fax (424) 259-7790 - Mailing address
-
5767 W Century Blvd, Suite 200
Los Angeles, CA 900455632
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- February 6, 2014
- Specialty taxonomy
- 207RC0200X — NUCC code
- State license (1)
- California #C50280
- Medicaid
- CA #00C502800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003836610. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
364
Distinct HCPCS
8
Medicare allowed
$68,844
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 209 | 39 | $226 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 32 | 19 | $197 | |
31645 |
Aspiration of initial secretion of lung airway using an endoscope | 30 | 25 | $73 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 29 | 17 | $127 | |
31624 |
Irrigation and suction of lung airways to obtain cells using an endoscope | 23 | 21 | $3 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $186 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $241 | |
31641 |
Destruction of growth or narrowing of lung airway using an endoscope | 12 | 11 | $267 |
In context: peer comparison
Among 3 peers in Santa Monica Critical Care Medicine (Internal Medicine) Physician, average services per provider: 120. This provider delivers 3.0× the peer median.Open Payments
Industry payments received
All-time total
$107
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 1 | $106.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
92
Patients
0
Total drug cost
$27,612
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 24 | 0 | $9,726 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 19 | 0 | $10,494 |
| Fluticasone Propionate | Generic | 14 | 0 | $147 |
| Montelukast Sodium | Generic | 12 | 0 | $364 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 12 | 0 | $6,538 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 11 | 0 | $343 |
Frequently asked questions
What is Dr. Irawan Susanto's medical specialty?
Dr. Irawan Susanto practices Critical Care Medicine (Internal Medicine) Physician in Santa Monica, CA.
Where does Dr. Irawan Susanto practice?
Dr. Irawan Susanto practices at 1223 16Th St, Santa Monica, CA 904041217. Office phone: 3104490939.
What is Dr. Irawan Susanto's NPI?
Dr. Irawan Susanto's National Provider Identifier (NPI) is 1003836610, issued by NPPES.
What procedures does Dr. Irawan Susanto commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99215); Aspiration of initial secretion of lung airway using an endoscope (HCPCS 31645). Source: CMS Medicare Physician & Other Practitioners file.