Medicare Enrolled
Dr. Nanna Sulai, MD
Internal Medicine · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Sulai from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sulai
Dr. Nanna Sulai is an internal medicine specialist in Tyler, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Sulai performed 86,311 Medicare services across 3,198 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sulai received a total of $3,656 from 38 pharmaceutical and/or device companies across 105 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Sulai is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice
▲ Top 1% volume in TX
$3,656 industry payments
Medicare Practice Summary
Medicare Utilization ↗86,311
Medicare services
Top 1% in TX for internal medicine
3,198
Unique beneficiaries
$13
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~5,754 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
13,770 | $0 | $5 |
| Pembrolizumab injection (Keytruda) | 9,800 | $44 | $138 |
| Paclitaxel chemotherapy injection | 9,624 | $0 | $8 |
| Oxaliplatin chemotherapy injection This procedure involves the administration of oxaliplatin, a chemotherapy medication, via injection. The dosage specified is 0.5 mg. |
9,120 | $0 | $33 |
| Darbepoetin injection (Aranesp) for anemia An injection of darbepoetin alfa used for non-end-stage renal disease purposes. |
7,010 | $2 | $20 |
| Nivolumab injection (Opdivo) | 6,800 | $24 | $77 |
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
5,600 | $0 | $2 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
3,955 | $0 | $3 |
| Daratumumab injection (Darzalex) An injection containing daratumumab and hyaluronidase-fihj administered under the skin. |
3,420 | $38 | $128 |
| Anti-nausea injection (fosaprepitant) An injection of fosaprepitant, a medication used to prevent nausea and vomiting. |
2,550 | $0 | $5 |
| Immune globulin infusion (Octagam) This procedure involves the administration of immune globulin medication directly into a vein. It is provided in a non-lyophilized liquid form. |
2,520 | $34 | $236 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,068 | $0 | $1 |
| Denosumab injection (Prolia/Xgeva) | 1,800 | $19 | $67 |
| Injection, granisetron hydrochloride, 100 mcg | 820 | $0 | $24 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
598 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
559 | $10 | $64 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
552 | $8 | $36 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
527 | $92 | $368 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
509 | $12 | $108 |
| Injection, leucovorin calcium, per 50 mg | 427 | $3 | $25 |
| Anti-nausea injection (Aloxi/palonosetron) | 400 | $1 | $114 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
320 | $99 | $707 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
317 | $2 | $300 |
| Fluorouracil injection, 500 mg Administration of a 500 mg dose of fluorouracil medication via injection. |
308 | $2 | $13 |
| Intensity-modulated radiation therapy delivery Delivery of radiation therapy using narrow beams that are spatially and temporally modulated to target specific areas. This process is performed per treatment session. |
275 | $272 | $2,762 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
220 | $6 | $431 |
| Pegfilgrastim injection, 0.5 mg An injection of pegfilgrastim, a medication that stimulates the production of white blood cells. This specific code applies to the brand-name drug and excludes biosimilar versions. |
180 | $74 | $1,348 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
144 | $48 | $313 |
| Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 135 | $3 | $373 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
129 | $22 | $157 |
| Injection, potassium chloride, per 2 meq | 128 | $0 | $1 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
127 | $1 | $7 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
102 | $49 | $344 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
99 | $13 | $60 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
97 | $11 | $96 |
| Iron level test | 92 | $6 | $27 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
91 | $9 | $35 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
88 | $21 | $161 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
88 | $1 | $6 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
73 | $55 | $211 |
| Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 64 | $360 | $1,722 |
| Radiation therapy, 3+ areas, 11-19 MeV Delivery of high-energy radiation (11-19 MeV) to three or more separate treatment areas using custom blocking, tangential ports, wedges, rotational beams, and compensators. |
61 | $178 | $700 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
60 | $1 | $8 |
| New patient office visit, complex (60-74 min) | 55 | $149 | $709 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
51 | $2 | $19 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
44 | $7 | $29 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
41 | $131 | $496 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
40 | $51 | $821 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
36 | $16 | $100 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
36 | $91 | $357 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
34 | $4 | $22 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
34 | $6 | $34 |
| IV chemotherapy initiation with community continuation Initiation of an intravenous chemotherapy infusion in a clinic using clinic supplies, with continuation of the infusion in a community setting such as home or assisted living. |
33 | $124 | $500 |
| Reticulated platelet measurement A blood test that measures the level of young, newly formed platelets in the body. |
29 | $35 | $143 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
28 | $173 | $1,067 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
28 | $6 | $31 |
| Irrigation of implanted venous access device This procedure involves flushing an implanted venous access device to clear blockages or maintain patency. It ensures the device remains functional for delivering medications or fluids. |
27 | $19 | $114 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
23 | $15 | $76 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
22 | $15 | $94 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
19 | $25 | $256 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
19 | $10 | $75 |
| Intravenous push injection of new drug or substance A healthcare provider injects a new medication or substance directly into a vein using a push technique. |
17 | $42 | $289 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
16 | $26 | $145 |
| On-body injector for subcutaneous injection A device is applied to the skin to automatically deliver a medication injection under the skin. |
15 | $14 | $96 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
14 | $124 | $694 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
12 | $73 | $264 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
11 | $197 | $1,413 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
19.8% high complexity
76.7% medium
3.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,656
Total received (2021-2024)
Avg $914/year across 4 years
Top 21% in TX for internal medicine
38
Companies
105
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,166 (59.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,491 (40.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,813
2023
$632
2022
$198
2021
$13
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$1,509
AstraZeneca Pharmaceuticals LP
$249
ABBVIE INC.
$221
Tempus AI, Inc
$157
Amgen Inc.
$124
Regeneron Healthcare Solutions, Inc.
$102
Novartis Pharmaceuticals Corporation
$99
BeiGene USA, Inc.
$90
Lilly USA, LLC
$88
Incyte Corporation
$79
SOBI, INC
$79
Stemline Therapeutics Inc.
$79
Daiichi Sankyo Inc.
$75
GlaxoSmithKline, LLC.
$67
G1 Therapeutics, Inc.
$49
GENZYME CORPORATION
$44
PUMA BIOTECHNOLOGY, INC.
$42
Pharmacyclics LLC, An AbbVie Company
$42
Ipsen Biopharmaceuticals, Inc
$39
Astellas Pharma US Inc
$38
Boston Scientific Corporation
$33
Blueprint Medicines Corporation
$33
Genentech USA, Inc.
$29
Alexion Pharmaceuticals, Inc.
$27
Tactile Systems Technology Inc
$25
Seagen Inc.
$23
EMD Serono, Inc.
$22
JAZZ PHARMACEUTICALS INC.
$21
Mirati Therapeutics, Inc.
$20
CTI BioPharma Corp.
$20
Genmab U.S., Inc.
$19
Aveo Pharmaceuticals, Inc.
$19
E.R. Squibb & Sons, L.L.C.
$18
MorphoSys, US Inc.
$17
Sumitomo Pharma America, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$15
Janssen Biotech, Inc.
$14
Emmaus Medical, Inc.
$14
Top 3 companies account for 54.1% of total payments
Associated products mentioned in payments ›
AYVAKIT · BAVENCIO · BOSULIF · BRUKINSA · COSELA · Columvi · DOPTELET · Doptelet · ELZONRIS · ENHERTU · EPKINLY · Endari · Enhertu · Epkinly · FOTIVDA · Flexitouch Plus · IBRANCE · IMBRUVICA · IMFINZI · IMJUDO · JAKAFI · JEMPERLI · KISQALI · KRAZATI · LIBTAYO · Lunsumio · MONJUVI · NERLYNX · OJJAARA · ORGOVYX · Onivyde · Orserdu · Padcev · SARCLISA · SOMATULINE DEPOT · Stivarga · TABRECTA · TUKYSA · ULTOMIRIS · VERZENIO · VONJO · Vonjo · WATCHMAN Access System · XALKORI · XT CDX · ZEPZELCA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (59%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $4 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
170
Per 100K population
71.4
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
3.0 mi
3.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Sulai is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement, with 15 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Sulai experienced with iron infusion (feraheme)?
Based on Medicare claims data, Dr. Sulai performed 13,770 iron infusion (feraheme) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sulai receive payments from pharmaceutical companies?
Yes. Dr. Sulai received a total of $3,656 from 38 companies across 105 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sulai's costs compare to other internal medicine physicians in Tyler?
Dr. Sulai's average Medicare payment per service is $13. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sulai) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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