Physician
Kemkar, Abhay
Kemkar, Abhay was paid $78K by Medicaid between Jan 2018 and May 2023, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoKEMKAR, ABHAY
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1346312477assigned 11/14/2006
33bProvider typeInternal Medicine Physician
28Total paid$78K
24GClaims16,614
24DCodes billed36
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#161 of 581
Median peer was paid$15K
This provider vs. median5.2×
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.
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 | 2,016 | $5K | |
| 2019 | 2,122 | $12K | |
| 2020 | 2,185 | $15K | |
| 2021 | 3,523 | $21K | |
| 2022 | 4,994 | $18K | |
| 2023 | 1,774 | $7K |
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 | 52% | 2,243 | 1,871 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,471 | 1,925 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.2% | 1,741 | 1,456 | $3K |
| 93000 | 3.8% | 520 | 449 | $3K | |
| 81000 | 1.4% | 1,418 | 1,091 | $1K | |
| 82962 | <1% | 1,956 | 1,353 | $608.04 | |
| 90756 | <1% | 42 | 40 | $530.46 | |
| 90674 | <1% | 67 | 65 | $460.13 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 185 | 156 | $357.74 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,244 | 1,165 | $322.97 |
| 99490 | Ccm add 20min | <1% | 105 | 103 | $271.28 |
| 95923 | <1% | 13 | 12 | $250.02 |
24 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 131 | $235.71 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 161 | $228.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 560 | $208.92 |
| 99407 | <1% | 34 | $193.14 | |
| 90688 | <1% | 67 | $165.93 | |
| 92552 | <1% | 57 | $106.99 | |
| 99406 | <1% | 28 | $103.74 | |
| G0008 | Administration of influenza virus vaccine | <1% | 186 | $28.24 |
| 94760 | <1% | 21 | $9.10 | |
| 3008F | 0% | 691 | $0.00 | |
| 3074F | 0% | 285 | $0.00 | |
| 3075F | 0% | 58 | $0.00 | |
| 3079F | 0% | 286 | $0.00 | |
| 4037F | 0% | 67 | $0.00 | |
| 1123F | 0% | 41 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 149 | $0.00 |
| 3077F | 0% | 232 | $0.00 | |
| 1160F | 0% | 287 | $0.00 | |
| 4004F | 0% | 596 | $0.00 | |
| 1159F | 0% | 288 | $0.00 | |
| 90653 | 0% | 16 | $0.00 | |
| 3078F | 0% | 317 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 39 | $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.