Physician
Ahluwalia, Kumkum
Ahluwalia, Kumkum was paid $39K by Medicaid between Nov 2018 and Mar 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoAHLUWALIA, KUMKUM
SPRINGFIELD, PA 19064
SPRINGFIELD, PA 19064
33aNPI1295759819assigned 07/27/2006
33bProvider typePediatrics Physician
28Total paid$39K
24GClaims1,239
24DCodes billed13
24AFirst – last monthNov 2018 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#655 of 1,257
Median peer was paid$45K
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 | |
|---|---|---|---|
| 2018 | 52 | $2K | |
| 2019 | 952 | $30K | |
| 2020 | 235 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68% | 582 | 480 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 37 | 35 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 27 | 26 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 110 | 102 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 63 | 50 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 104 | 98 | $2K |
| 90686 | 2.6% | 146 | 141 | $1K | |
| 96127 | 1.3% | 36 | 33 | $525.60 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 32 | 32 | $412.16 |
| 36416 | <1% | 30 | 28 | $114.80 | |
| 99173 | <1% | 13 | 13 | $96.85 | |
| 85018 | <1% | 30 | 28 | $69.60 |
1 more codes
| 94760 | 0% | 29 | $0.00 |
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.