Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kumar, Suresh

Kumar, Suresh was paid $23K by Medicaid between Jan 2018 and Nov 2020, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 50% of everything it billed.

33Billing provider infoKUMAR, SURESH
KNOXVILLE, TN 37917
33aNPI1104016617assigned 07/31/2007
28Total paid$23K
24GClaims1,141
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Tennessee

Rank by total paid#38 of 74
Median peer was paid$23K
This provider vs. median1.0×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018508$10K
2019440$9K
2020193$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 50% 690 282 $11K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 29% 251 118 $7K
99223 Prolong inpt eval add15 m 8.5% 44 41 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 69 67 $790.98
90961 3.3% 50 48 $752.59
90935 Hemodialysis procedure with single evaluation by a physician 2.8% 22 13 $627.18
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2.1% 15 15 $474.64

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.