Kumar, Prerna

Kumar, Prerna was paid $35K by Medicaid between Aug 2020 and Sep 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoKUMAR, PRERNA
IOWA CITY, IA 52242

33aNPI1184044174assigned 04/17/2014

33bProvider typeHospitalist Physician

28Total paid$35K

24GClaims1,117

24DCodes billed4

24AFirst – last monthAug 2020 – Sep 2022

Compared with peers

Next to other Hospitalist Physician providers in Iowa

Rank by total paid#8 of 16

Median peer was paid$7K

This provider vs. median4.7×

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
2020	181	$10K
2021	459	$11K
2022	477	$15K

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	72%	811	625	$25K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	23%	203	67	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.1%	90	31	$1K
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%	13	13	$284.76

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.