Kumar, Sushil

Kumar, Sushil was paid $24K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider infoKUMAR, SUSHIL
LOUISVILLE, KY 40214

33aNPI1134278427assigned 01/09/2007

33bProvider typeOphthalmology Physician

28Total paid$24K

24GClaims705

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#51 of 110

Median peer was paid$15K

This provider vs. median1.5×

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	584	$19K
2019	105	$4K
2020	16	$307.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	34%	179	151	$8K
92134		32%	338	250	$8K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	46	38	$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	8.1%	68	52	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.1%	35	32	$1K
67028	Intravitreal injection of a pharmacologic agent	6.1%	39	26	$1K

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.