Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Vijay Kumar PC

Vijay Kumar PC was paid $647K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoVIJAY KUMAR PC
NORTON, VA 24273
33aNPI1053839977assigned 08/30/2017
28Total paid$647K
24GClaims18,163
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Virginia

Rank by total paid#9 of 100
Median peer was paid$30K
This provider vs. median22×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,626$29K
20192,129$60K
20202,803$99K
20212,981$100K
20223,256$122K
20233,635$155K
2024incomplete1,733$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 9,174 7,247 $380K
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 29% 3,333 2,715 $185K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8.3% 3,628 2,209 $54K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.0% 213 186 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 67 59 $4K
36415 Collection of venous blood by venipuncture <1% 1,610 1,423 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 45 43 $1K
Q3014 Telehealth originating site facility fee <1% 46 43 $719.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 12 12 $498.92
90756 <1% 18 13 $77.23
G0444 Annual depression screening, 5 to 15 minutes 0% 17 17 $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.

From NPPES

Who's on the registration

Authorized officialKUMAR, VIJAY (CEO)
Same official

Other billing entities under KUMAR, VIJAY

Full network →
ProviderLocationPaid
Vijay Kumar MD a Medical CorporationSimi Valley, CA$1.25M
Immco Diagnostics, INCBuffalo, NY$332.62

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.