Physician
Nigam, Kusum
Nigam, Kusum was paid $577K by Medicaid between Jan 2018 and Dec 2021, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoNIGAM, KUSUM
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1386683167assigned 06/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$577K
24GClaims40,442
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#52 of 231
Median peer was paid$77K
This provider vs. median7.5×
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 | 16,554 | $199K | |
| 2019 | 13,534 | $138K | |
| 2020 | 5,852 | $136K | |
| 2021 | 4,502 | $105K |
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 | 35% | 4,272 | 3,778 | $201K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,630 | 4,765 | $180K |
| 99490 | Ccm add 20min | 8.5% | 1,973 | 1,843 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.7% | 244 | 229 | $22K |
| 99173 | 2.9% | 375 | 356 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 596 | 259 | $13K |
| 99223 | Prolong inpt eval add15 m | 2.2% | 183 | 159 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 954 | 838 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 302 | 260 | $12K |
| 99429 | 1.9% | 169 | 166 | $11K | |
| 90688 | 1.4% | 586 | 541 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 525 | 488 | $6K |
47 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 72 | $6K |
| 80305 | <1% | 550 | $5K | |
| 99406 | <1% | 753 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 107 | $2K |
| 99401 | <1% | 338 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $1K |
| 81002 | <1% | 684 | $1K | |
| 96127 | <1% | 353 | $1K | |
| 99407 | <1% | 36 | $482.69 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $471.08 |
| 90686 | <1% | 33 | $441.59 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 71 | $379.85 |
| 99072 | <1% | 35 | $362.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 120 | $283.14 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 412 | $242.01 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 15 | $160.59 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 28 | $140.39 |
| 81025 | <1% | 15 | $121.05 | |
| 3079F | <1% | 1,166 | $0.24 | |
| 3077F | <1% | 277 | $0.10 | |
| 3074F | <1% | 1,897 | $0.09 | |
| 1160F | <1% | 4,231 | $0.07 | |
| 3075F | <1% | 396 | $0.07 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 778 | $0.05 |
| 3008F | <1% | 1,511 | $0.05 | |
| 1159F | <1% | 4,117 | $0.02 | |
| 3080F | <1% | 29 | $0.02 | |
| 3725F | 0% | 342 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,667 | $0.00 |
| 3078F | 0% | 1,501 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 300 | $0.00 |
| 888888 | 0% | 115 | $0.00 | |
| 3050F | 0% | 112 | $0.00 | |
| 3089F | 0% | 16 | $0.00 | |
| 3049F | 0% | 131 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 504 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 357 | $0.00 |
| 1036F | 0% | 62 | $0.00 | |
| 1034F | 0% | 326 | $0.00 | |
| 1170F | 0% | 147 | $0.00 | |
| 3048F | 0% | 336 | $0.00 | |
| 4000F | 0% | 151 | $0.00 | |
| 4037F | 0% | 145 | $0.00 | |
| 3044F | 0% | 91 | $0.00 | |
| 1126F | 0% | 105 | $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.