Kumar, Kain

Kumar, Kain was paid $2K by Medicaid between Mar 2019 and May 2019, across 2 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 57% of everything it billed.

33Billing provider infoKUMAR, KAIN
PALMDALE, CA 93551

33aNPI1265431316assigned 07/20/2005

33bProvider typeInternal Medicine Physician

28Total paid$2K

24GClaims46

24DCodes billed2

24AFirst – last monthMar 2019 – May 2019

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#1,856 of 2,679

Median peer was paid$13K

This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/19/2020).

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
2019	46	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	57%	34	13	$1K
99306	Prolong nursin fac eval 15m	43%	12	12	$865.20

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.