Soumya Chowdary Madala, M.D.
NPI 1043334527ActiveIndividual· Internal Medicine, Sleep Medicine· Grand Rapids, MI
Internal Medicine, Sleep Medicine (M.D.) with Advantage Health/Saint Mary's Medical Group and 1 other group, practicing in Grand Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $460,054 for 272 claims, against $12,838 paid for services in 2024. Inspire Medical Systems, Inc. reported $17.50 in payments in 2024, mostly food and beverage. Lists Mercy Health Saint Mary's and 1 other hospital as hospital affiliations.
Overview
| NPI | 1043334527 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Dec 3, 2021 |
| Certified by provider | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Sleep Medicine Primary | 207RS0012X | 4301085495 | MI |
| Internal Medicine | 207R00000X | 4301085495 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sleep Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 123 |
|---|---|
| Services billed | 208 across 14 procedure codes |
| Paid by Medicare | $12,838 |
Part D prescriptions in 2024
| Prescriptions (claims) | 272 · 399 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $460,054 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Sleep Medicine |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Advantage Health/Saint Mary's Medical GroupCaledonia, MI · 505 clinicians
- Mercy Health Partners Sub-Specialty ServicesMuskegon, MI · 35 clinicians
Hospital affiliations
- Mercy Health Saint Mary'sGrand Rapids, MI
- Trinity Health Grand Haven HospitalGrand Haven, MI
Industry payments (Open Payments)
- 2024$17.50 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $17.50 | 1 |
What the 2024 payments were for
- Food and Beverage$17.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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