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

Kumar S Mandal MD PC

Kumar S Mandal MD PC was paid $38K by Medicaid between Mar 2018 and Apr 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoKUMAR S MANDAL MD PC
SHIRLEY, NY 11967
33aNPI1497924476assigned 02/25/2008
28Total paid$38K
24GClaims1,304
24DCodes billed9
24AFirst – last monthMar 2018 – Apr 2023
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#857 of 2,605
Median peer was paid$10K
This provider vs. median3.7×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
201814$877.19
2019121$5K
2020132$3K
2021541$15K
2022296$9K
2023200$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 623 580 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 502 447 $15K
0011A 2.8% 36 36 $1K
0012A 2.7% 34 34 $1K
0064A 1.6% 16 16 $614.38
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13 12 $363.65
81002 <1% 25 24 $32.49
36415 Collection of venous blood by venipuncture <1% 26 24 $22.50
91301 0% 29 29 $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 officialMANDAL, KUMAR (MD)