Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kumar, Raman

Kumar, Raman was paid $3K by Medicaid between Jul 2019 and Sep 2024, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 88% of everything it billed.

33Billing provider infoKUMAR, RAMAN
ALTON, IL 62002
33aNPI1386866853assigned 05/03/2007
33bProvider typeSurgery Physician
28Total paid$3K
24GClaims61
24DCodes billed2
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#257 of 422
Median peer was paid$5K
This provider vs. median0.6×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201933$2K
202114$366.56
2024incomplete14$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88% 47 46 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 14 14 $366.56

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.