Physician
Kumar, Pradeep
Kumar, Pradeep was paid $5K by Medicaid between Nov 2020 and Aug 2021, across 2 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 96% of everything it billed.
33Billing provider infoKUMAR, PRADEEP
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1295710994assigned 12/14/2005
33bProvider typeGastroenterology Physician
28Total paid$5K
24GClaims319
24DCodes billed2
24AFirst – last monthNov 2020 – Aug 2021
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#91 of 178
Median peer was paid$6K
This provider vs. median0.9×
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 | 59 | $581.94 | |
| 2021 | 260 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 96% | 297 | 77 | $5K |
| 99153 | Mod sedat endo service >5yrs | 4.3% | 22 | 12 | $219.84 |
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.