Malarkodi Gunasekaran, NP
Nurse Practitioner · Modesto
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 6
Offices
6 locations · Sutter Valley Medical Foundation · Sutter Bay Medical Foundation
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Malarkodi Gunasekaran’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$16,085
Medicare paid this office $16,085 for 283 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit (20+ min) | 249 | $11,939 | $44 |
| New patient visit (30+ min) | 28 | $1,647 | $59 |
| Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 21 | $757 | $34 |
| Automated urinalysis test | 35 | $84 | $2 |
| Assessment of emotional or behavioral problems | 19 | $38 | $2 |
Who their Medicare patients are
283 Original Medicare patients in 2024. Average age 71 · Under 65 18% · 85 and older 13% · Women 60% · Also on Medicaid 21% · Health risk score 1.02. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 67% · Diabetes 29% · Coronary heart disease 19% · Chronic kidney disease 17% · Depression 17% · Atrial fibrillation 16% · Heart failure 14% · COPD 13% · Cancer 10% · Dementia 5% · Stroke 5%.
The office billed $72,631, Medicare allowed $25,650 and paid $16,085; for 429 services of 18 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 283 | 429 | 71 | 1.02 | $72,631 | $16,085 |
| 2023 | 319 | 469 | 70 | 0.96 | $71,544 | $17,156 |
| 2022 | 175 | 245 | 71 | 0.98 | $33,570 | $9,774 |
| 2021 | 146 | 217 | 69 | 0.98 | $27,227 | $8,402 |
| 2020 | 240 | 284 | 70 | 1.08 | $30,354 | $7,562 |
| 2019 | 148 | 192 | 67 | 0.98 | $26,437 | $7,551 |
| 2018 | 309 | 424 | 70 | 1.00 | $64,820 | $16,087 |
| 2017 | 368 | 506 | 69 | 1.05 | $71,619 | $18,115 |
| 2016 | 255 | 327 | 69 | 1.00 | $41,834 | $10,146 |
| 2015 | 381 | 465 | 68 | 0.93 | $61,620 | $15,826 |
| 2014 | 386 | 652 | 67 | 1.01 | $68,851 | $19,292 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 5 services
| Short return visit (20+ min) | 279 | $14,281 | $48 |
| New patient visit (30+ min) | 37 | $1,860 | $50 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 16 | $259 | $16 |
| Assessment of emotional or behavioral problems | 48 | $116 | $2 |
| Automated urinalysis test | 39 | $86 | $2 |
2022: 4 services
| Short return visit (20+ min) | 156 | $8,157 | $49 |
| New patient visit (30+ min) | 11 | $825 | $75 |
| Assessment of emotional or behavioral problems | 24 | $73 | $3 |
| Automated urinalysis test | 18 | $42 | $2 |
2021: 3 services
| Short return visit (20+ min) | 129 | $7,042 | $51 |
| Assessment of emotional or behavioral problems | 18 | $60 | $3 |
| Automated urinalysis test | 13 | $34 | $2 |
2020: 3 services
| Short return visit (20+ min) | 116 | $4,532 | $37 |
| Office for the evaluation and management of established patient that may not require presence of healthcare professional | 117 | $2,283 | $19 |
| Automated urinalysis test | 12 | $27 | $2 |
2019: 2 services
| Short return visit (20+ min) | 140 | $6,660 | $45 |
| Urinalysis, manual test | 11 | $41 | $3 |
2018: 3 services
| Short return visit (20+ min) | 190 | $8,513 | $42 |
| Return visit (30+ min) | 122 | $6,627 | $51 |
| Urinalysis, manual test | 46 | $164 | $3 |
2017: 5 services
| Short return visit (20+ min) | 296 | $11,829 | $37 |
| Return visit (30+ min) | 67 | $4,624 | $68 |
| New patient visit (30+ min) | 11 | $700 | $64 |
| Urinalysis, manual test | 53 | $203 | $3 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 12 | $185 | $15 |
2016: 2 services
| Short return visit (20+ min) | 246 | $9,392 | $36 |
| Urinalysis, manual test | 36 | $126 | $3 |
2015: 2 services
| Short return visit (20+ min) | 364 | $14,774 | $36 |
| Urinalysis, manual test | 38 | $130 | $3 |
2014: 3 services
| Short return visit (20+ min) | 331 | $14,655 | $40 |
| Short return visit | 45 | $1,125 | $25 |
| Urinalysis, manual test | 53 | $198 | $3 |
Medicaid work
$7,357 in 2024
Medicaid paid $7,357 for 189 billed services this clinician did in 2024, up to 31 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Short return visit (20+ min) | 189 | $7,357 |
| 2024 | 189 | 1 | 31 | $7,357 |
| 2023 | 30 | 1 | 17 | $1,226 |
| 2021 | 15 | 1 | 13 | $270 |
| 2020 | 39 | 1 | 20 | $1,157 |
| 2019 | 92 | 1 | 16 | $1,446 |
| 2018 | 143 | 2 | 26 | $3,178 |
See the largest Medicaid services in earlier years
2023
| Short return visit (20+ min) | 30 | $1,226 |
2021
| Short return visit (20+ min) | 15 | $270 |
2020
| Short return visit (20+ min) | 39 | $1,157 |
2019
| Short return visit (20+ min) | 92 | $1,446 |
2018
| Return visit (30+ min) | 72 | $1,820 |
| Short return visit (20+ min) | 71 | $1,358 |
Drugs they prescribed that Part D paid
$6,243
Pharmacies billed $6,243 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 732) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
698 generic and fewer than 11 brand-name prescriptions · $6,243 in drug cost · 394 antibiotic prescriptions to 365 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Amoxicillin-Clavulanate Potass | 106 | $958 | $9 |
| Nitrofurantoin Mono-Macro | 32 | $397 | $12 |
| Doxycycline Hyclate | 73 | $396 | $5 |
| Albuterol Sulfate Hfa | 14 | $393 | $28 |
| Prednisone | 143 | $307 | $2 |
See all 16 drugs
| Amoxicillin-Clavulanate Potass | 106 | $958 | $9 |
| Nitrofurantoin Mono-Macro | 32 | $397 | $12 |
| Doxycycline Hyclate | 73 | $396 | $5 |
| Albuterol Sulfate Hfa | 14 | $393 | $28 |
| Prednisone | 143 | $307 | $2 |
| Azithromycin | 81 | $240 | $3 |
| Sulfamethoxazole-Trimethoprim | 21 | $169 | $8 |
| Mupirocin | 27 | $158 | $6 |
| Polymyxin B Sul-Trimethoprim | 18 | $149 | $8 |
| Cephalexin | 20 | $138 | $7 |
| Mometasone Furoate | 13 | $106 | $8 |
| Fluticasone Propionate | 11 | $92 | $8 |
| Cyclobenzaprine | 24 | $73 | $3 |
| Ciprofloxacin | 17 | $62 | $4 |
| Fluconazole | 14 | $52 | $4 |
| Amoxicillin | 11 | $44 | $4 |
Year by year
| 2024 | 732 | 514 | 0% (0) | None | $6,243 |
| 2023 | 719 | 490 | 0% (0) | 2% | $7,979 |
| 2022 | 366 | 260 | 0% (0) | None | $4,626 |
| 2021 | 279 | 190 | 0% (0) | 5% | $3,224 |
| 2020 | 260 | 165 | 0% (0) | 5% | $3,130 |
| 2019 | 321 | 210 | 0% (0) | None | $4,305 |
| 2018 | 474 | 307 | 0% (0) | None | $6,110 |
| 2017 | 426 | 304 | 0% (0) | None | $6,692 |
| 2016 | 258 | 192 | 0% (0) | 12% | $4,194 |
| 2015 | 374 | 265 | 0% (0) | 19% | $7,805 |
| 2014 | 431 | 290 | None | 16% | $19,079 |
| 2013 | 904 | 109 | 2% (19) | None | $135,491 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 16 drugs
| Amoxicillin-Clavulanate Potass | 74 | $753 | $10 |
| Doxycycline Hyclate | 73 | $692 | $9 |
| Neomycin-Polymyxin-Hc | 11 | $691 | $63 |
| Prednisone | 139 | $481 | $3 |
| Nitrofurantoin Mono-Macro | 20 | $437 | $22 |
| Albuterol Sulfate Hfa | 11 | $408 | $37 |
| Azithromycin | 64 | $334 | $5 |
| Ciprofloxacin | 41 | $241 | $6 |
| Mupirocin | 35 | $238 | $7 |
| Cephalexin | 30 | $236 | $8 |
| Fluticasone Propionate | 17 | $222 | $13 |
| Amoxicillin | 20 | $153 | $8 |
| Polymyxin B Sul-Trimethoprim | 13 | $113 | $9 |
| Clindamycin | 14 | $112 | $8 |
| Fluconazole | 23 | $99 | $4 |
| Sulfamethoxazole-Trimethoprim | 16 | $79 | $5 |
2022: 10 drugs
| Albuterol Sulfate Hfa | 13 | $555 | $43 |
| Amoxicillin-Clavulanate Potass | 44 | $495 | $11 |
| Doxycycline Hyclate | 35 | $357 | $10 |
| Prednisone | 72 | $227 | $3 |
| Azithromycin | 40 | $209 | $5 |
| Mupirocin | 20 | $209 | $10 |
| Clindamycin | 14 | $150 | $11 |
| Cephalexin | 18 | $121 | $7 |
| Ciprofloxacin | 13 | $67 | $5 |
| Sulfamethoxazole-Trimethoprim | 12 | $60 | $5 |
2021: 8 drugs
| Amoxicillin-Clavulanate Potass | 25 | $311 | $12 |
| Doxycycline Hyclate | 22 | $289 | $13 |
| Prednisone | 54 | $167 | $3 |
| Acyclovir | 11 | $167 | $15 |
| Mupirocin | 20 | $154 | $8 |
| Azithromycin | 21 | $103 | $5 |
| Cephalexin | 15 | $97 | $6 |
| Ciprofloxacin | 12 | $64 | $5 |
2020: 5 drugs
| Doxycycline Hyclate | 22 | $399 | $18 |
| Amoxicillin-Clavulanate Potass | 27 | $305 | $11 |
| Prednisone | 53 | $186 | $4 |
| Azithromycin | 23 | $125 | $5 |
| Ciprofloxacin | 18 | $106 | $6 |
2019: 8 drugs
| Doxycycline Hyclate | 29 | $465 | $16 |
| Amoxicillin-Clavulanate Potass | 44 | $388 | $9 |
| Azithromycin | 31 | $182 | $6 |
| Mupirocin | 24 | $165 | $7 |
| Prednisone | 41 | $141 | $3 |
| Cephalexin | 18 | $137 | $8 |
| Amoxicillin | 12 | $59 | $5 |
| Ciprofloxacin | 11 | $47 | $4 |
2018: 11 drugs
| Amoxicillin-Clavulanate Potass | 106 | $1,221 | $12 |
| Doxycycline Hyclate | 39 | $771 | $20 |
| Ventolin Hfa | 11 | $603 | $55 |
| Prednisone | 72 | $274 | $4 |
| Ciprofloxacin | 32 | $222 | $7 |
| Mupirocin | 22 | $199 | $9 |
| Sulfamethoxazole-Trimethoprim | 21 | $166 | $8 |
| Fluticasone Propionate | 14 | $151 | $11 |
| Azithromycin | 25 | $137 | $5 |
| Cephalexin | 12 | $76 | $6 |
| Amoxicillin | 15 | $62 | $4 |
2017: 8 drugs
| Amoxicillin-Clavulanate Potass | 100 | $1,199 | $12 |
| Doxycycline Hyclate | 29 | $810 | $28 |
| Ciprofloxacin | 33 | $224 | $7 |
| Prednisone | 50 | $207 | $4 |
| Azithromycin | 26 | $186 | $7 |
| Mupirocin | 18 | $167 | $9 |
| Cephalexin | 19 | $125 | $7 |
| Amoxicillin | 15 | $70 | $5 |
2016: 6 drugs
| Amoxicillin-Clavulanate Potass | 39 | $483 | $12 |
| Doxycycline Hyclate | 14 | $404 | $29 |
| Azithromycin | 37 | $220 | $6 |
| Ciprofloxacin | 15 | $97 | $6 |
| Prednisone | 18 | $86 | $5 |
| Cephalexin | 14 | $82 | $6 |
2015: 8 drugs
| Proair Hfa | 16 | $904 | $57 |
| Amoxicillin-Clavulanate Potass | 63 | $758 | $12 |
| Azithromycin | 51 | $262 | $5 |
| Cephalexin | 31 | $181 | $6 |
| Fluticasone Propionate | 14 | $163 | $12 |
| Ciprofloxacin | 25 | $95 | $4 |
| Prednisone | 20 | $88 | $4 |
| Sulfamethoxazole-Trimethoprim | 19 | $58 | $3 |
2014: 8 drugs
| Proair Hfa | 19 | $932 | $49 |
| Amox Tr-Potassium Clavulanate | 43 | $682 | $16 |
| Azithromycin | 64 | $476 | $7 |
| Levofloxacin | 23 | $291 | $13 |
| Cephalexin | 31 | $202 | $7 |
| Prednisone | 25 | $136 | $5 |
| Ciprofloxacin | 30 | $116 | $4 |
| Sulfamethoxazole-Trimethoprim | 11 | $54 | $5 |
2013: 28 drugs
| Xifaxan | 19 | $24,989 | $1,315 |
| Prograf | 55 | $19,427 | $353 |
| Hepsera | 11 | $11,830 | $1,075 |
| Gengraf | 61 | $9,196 | $151 |
| Tacrolimus | 31 | $7,271 | $235 |
| Nexium | 15 | $5,187 | $346 |
| Advair Diskus | 13 | $3,549 | $273 |
| Protonix | 11 | $2,233 | $203 |
| Ursodiol | 40 | $2,131 | $53 |
| Humalog | 13 | $2,065 | $159 |
| Mycophenolate Mofetil | 30 | $1,447 | $48 |
| Sps | 17 | $1,209 | $71 |
| Nadolol | 12 | $1,113 | $93 |
| Lansoprazole | 12 | $735 | $61 |
| Omeprazole | 59 | $722 | $12 |
| Clopidogrel | 11 | $535 | $49 |
| Tamsulosin | 33 | $448 | $14 |
| Metoprolol | 64 | $325 | $5 |
| Pantoprazole | 19 | $258 | $14 |
| Gabapentin | 14 | $225 | $16 |
| Levothyroxine | 23 | $198 | $9 |
| Amlodipine Besylate | 21 | $160 | $8 |
| Lisinopril | 34 | $113 | $3 |
| Olanzapine | 11 | $96 | $9 |
| Warfarin | 12 | $95 | $8 |
| Fludrocortisone Acetate | 12 | $89 | $7 |
| Ibuprofen | 15 | $49 | $3 |
| Prednisone | 15 | $26 | $2 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 82.9 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1023399557
- Licence
- NY 336902
- Group
- Sutter Valley Medical Foundation · Sutter Bay Medical Foundation
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X); Nurse practitioner (363L00000X)
- Mailing address
- Po Box 255228, Sacramento, CA, 95865
- NPI first listed
- 2011-08-29
- NPI last updated
- 2026-05-26
- NPI record certified
- 2026-05-26
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.