Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kumar, Rishi

Kumar, Rishi was paid $35K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoKUMAR, RISHI
LOUISVILLE, KY 40214
33aNPI1114970415assigned 05/18/2006
33bProvider typeOphthalmology Physician
28Total paid$35K
24GClaims1,022
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#44 of 110
Median peer was paid$15K
This provider vs. median2.3×

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
2018348$12K
2019260$10K
2020414$13K
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 34% 363 334 $12K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 33% 308 279 $12K
92133 14% 176 160 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.2% 68 56 $3K
92083 4.7% 45 39 $2K
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 3.9% 35 31 $1K
92020 <1% 13 12 $188.80
92145 <1% 14 14 $23.96

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.