Kumar, Pankaj

Kumar, Pankaj was paid $122K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoKUMAR, PANKAJ
PEORIA, IL 61615

33aNPI1073576922assigned 04/11/2006

33bProvider typeHematology & Oncology Physician

28Total paid$122K

24GClaims3,549

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#40 of 285

Median peer was paid$31K

This provider vs. median3.9×

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	583	$12K
2019	936	$20K
2020	593	$14K
2021	917	$59K
2022	263	$8K
2023	213	$7K
2024incomplete	44	$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	38%	1,548	1,381	$46K
96367		28%	283	114	$33K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	24%	772	312	$29K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	5.1%	222	129	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.5%	518	388	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	75	68	$1K
J1756	Injection, iron sucrose, 1 mg	<1%	33	12	$1K
80053	Comprehensive metabolic panel	<1%	37	24	$383.32
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	13	13	$171.47
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	15	12	$107.91
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	33	15	$94.27

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.