Physician
Krishnan S. Kumar, M.D., P.C.
Krishnan S. Kumar, M.D., P.C. was paid $4.66M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoKRISHNAN S. KUMAR, M.D., P.C.
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1588730790assigned 11/28/2006
33bProvider typePediatrics Physician
28Total paid$4.66M
24GClaims155,001
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#36 of 817
Median peer was paid$29K
This provider vs. median159×
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 | 19,063 | $668K | |
| 2019 | 20,976 | $666K | |
| 2020 | 16,650 | $577K | |
| 2021 | 20,953 | $702K | |
| 2022 | 21,780 | $758K | |
| 2023 | 38,073 | $719K | |
| 2024incomplete | 17,506 | $571K |
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 | 26% | 22,471 | 19,038 | $1.21M |
| 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 | 22% | 13,387 | 11,437 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 5,821 | 5,246 | $396K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 5,485 | 4,600 | $344K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 4,995 | 4,337 | $312K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 3,885 | 3,145 | $257K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 4,485 | 3,922 | $120K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 9,823 | 4,524 | $112K |
| 92551 | 2.0% | 11,830 | 9,837 | $94K | |
| 90670 | 1.6% | 3,089 | 3,025 | $75K | |
| 90651 | 1.4% | 2,224 | 1,795 | $66K | |
| 90716 | 1.1% | 2,506 | 2,261 | $50K |
40 more codes
| 90680 | <1% | 2,652 | $43K | |
| 90671 | <1% | 1,017 | $42K | |
| 90686 | <1% | 4,525 | $42K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,423 | $41K |
| 90700 | <1% | 3,714 | $40K | |
| 90698 | <1% | 2,004 | $35K | |
| 90707 | <1% | 2,303 | $35K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,826 | $34K |
| 90633 | <1% | 2,723 | $31K | |
| 90713 | <1% | 2,625 | $29K | |
| 90619 | <1% | 1,020 | $25K | |
| 90744 | <1% | 2,261 | $25K | |
| 99381 | <1% | 375 | $24K | |
| 99173 | <1% | 11,497 | $22K | |
| 90734 | <1% | 945 | $22K | |
| 90648 | <1% | 1,939 | $18K | |
| 90620 | <1% | 768 | $14K | |
| 96127 | <1% | 3,011 | $11K | |
| 90715 | <1% | 858 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,070 | $7K |
| 87428 | <1% | 158 | $7K | |
| 97802 | <1% | 4,756 | $7K | |
| 0071A | <1% | 142 | $6K | |
| 99177 | <1% | 1,399 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 475 | $5K |
| 90685 | <1% | 363 | $4K | |
| 0072A | <1% | 94 | $4K | |
| 90656 | <1% | 243 | $3K | |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 443 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 374 | $3K |
| 85018 | <1% | 748 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $985.32 |
| 0001A | <1% | 20 | $760.00 | |
| 2015F | <1% | 160 | $690.00 | |
| 90461 | <1% | 56 | $631.57 | |
| 81002 | <1% | 174 | $459.72 | |
| 97803 | <1% | 1,589 | $428.90 | |
| 36416 | <1% | 737 | $83.66 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 462 | $69.68 |
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, KRISHNAN (PRESIDENT)