Kumar, Prathibha

Kumar, Prathibha was paid $14K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoKUMAR, PRATHIBHA
HAMDEN, CT 06514

33aNPI1043268691assigned 05/05/2006

33bProvider typeInternal Medicine Physician

28Total paid$14K

24GClaims405

24DCodes billed5

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Internal Medicine Physician providers in Connecticut

Rank by total paid#179 of 295

Median peer was paid$35K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	323	$12K
2019	82	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	98%	330	224	$13K
96127		1.3%	23	12	$180.00
93000		<1%	24	16	$127.76
1126F		0%	14	14	$0.00
1170F		0%	14	14	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.