Clinic
Kumar Physician Office PC
Kumar Physician Office PC was paid $356K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoKUMAR PHYSICIAN OFFICE PC
BELLEROSE, NY 11426
BELLEROSE, NY 11426
33aNPI1447628342assigned 09/09/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$356K
24GClaims38,931
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#88 of 242
Median peer was paid$172K
This provider vs. median2.1×
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 | 4,320 | $102K | |
| 2019 | 6,192 | $114K | |
| 2020 | 5,250 | $94K | |
| 2021 | 7,867 | $39K | |
| 2022 | 5,969 | $4K | |
| 2023 | 6,113 | $3K | |
| 2024incomplete | 3,220 | $1K |
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 | 58% | 9,407 | 7,885 | $206K |
| 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 | 19% | 888 | 833 | $68K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.6% | 972 | 971 | $23K |
| 99401 | 5.3% | 932 | 924 | $19K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.5% | 1,518 | 1,518 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 339 | 339 | $7K |
| 90688 | 1.5% | 379 | 379 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 491 | 491 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 181 | 180 | $4K |
| 90686 | <1% | 299 | 299 | $4K | |
| H0001 | Alcohol and/or drug assessment | <1% | 2,411 | 2,411 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | 14 | $876.00 |
27 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,954 | $787.20 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,337 | $730.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $612.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $363.20 |
| 90658 | <1% | 35 | $218.60 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 2,398 | $189.66 |
| 3077F | <1% | 69 | $142.50 | |
| 3078F | <1% | 38 | $72.50 | |
| 3079F | <1% | 52 | $60.00 | |
| 94760 | <1% | 39 | $39.20 | |
| 3074F | <1% | 13 | $17.50 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 534 | $6.25 |
| 3008F | <1% | 1,704 | $0.05 | |
| 4010F | <1% | 695 | $0.04 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 679 | $0.00 |
| 3016F | 0% | 1,210 | $0.00 | |
| 3725F | 0% | 1,697 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,124 | $0.00 |
| 2028F | 0% | 610 | $0.00 | |
| 99072 | 0% | 221 | $0.00 | |
| 99397 | 0% | 13 | $0.00 | |
| 1000F | 0% | 1,397 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 516 | $0.00 |
| 1036F | 0% | 1,538 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,151 | $0.00 |
| 1126F | 0% | 13 | $0.00 | |
| 3048F | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialKUMAR, MANISH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Eastern Iowa Dermatology PLC | Bettendorf, IA | $76K |
| Kumar Medical Care, P.C. | New Hyde Park, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.