Kumari, Kalpana

Kumari, Kalpana was paid $27K by Medicaid between Jan 2018 and Jan 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoKUMARI, KALPANA
SOUTH PLAINFIELD, NJ 07080

33aNPI1477703239assigned 09/29/2008

33bProvider typePediatrics Physician

28Total paid$27K

24GClaims944

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#386 of 549

Median peer was paid$154K

This provider vs. median0.2×

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	128	$7K
2019	331	$11K
2020	468	$8K
2021	17	$195.50

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	55%	308	280	$15K
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	20%	94	85	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13%	316	307	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.3%	62	62	$2K
90472	Immunization administration, each additional vaccine (list separately)	2.9%	39	39	$770.50
92587		2.5%	27	27	$675.00
96127		<1%	43	36	$126.84
99072		0%	55	53	$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.