Physician
Patel, Kumar
Patel, Kumar was paid $577K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 56% of everything it billed.
33Billing provider infoPATEL, KUMAR
TARENTUM, PA 15084
TARENTUM, PA 15084
33aNPI1720198393assigned 08/30/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$577K
24GClaims23,178
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Pennsylvania
Rank by total paid#6 of 45
Median peer was paid$46K
This provider vs. median13×
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 | 83 | $884.08 | |
| 2019 | 105 | $1K | |
| 2020 | 703 | $17K | |
| 2021 | 5,646 | $145K | |
| 2022 | 6,103 | $158K | |
| 2023 | 5,996 | $145K | |
| 2024incomplete | 4,542 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 56% | 1,924 | 1,753 | $324K |
| 95117 | 21% | 18,126 | 7,067 | $121K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,701 | 1,570 | $50K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 5.0% | 452 | 427 | $29K |
| 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 | 3.2% | 393 | 358 | $18K |
| 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 | 2.3% | 156 | 151 | $13K |
| 95024 | 2.3% | 258 | 246 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 111 | 105 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 45 | 40 | $3K |
| 94060 | <1% | 12 | 12 | $290.17 |
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.