Awani Kumar, MD, PC

Awani Kumar, MD, PC was paid $84K by Medicaid between Nov 2018 and Oct 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.

33Billing provider infoAWANI KUMAR, MD, PC
TOMS RIVER, NJ 08755

33aNPI1811175755assigned 02/02/2008

33bProvider typePulmonary Disease Physician

28Total paid$84K

24GClaims7,319

24DCodes billed7

24AFirst – last monthNov 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#37 of 112

Median peer was paid$24K

This provider vs. median3.5×

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	$509.65
2019	259	$7K
2020	1,817	$28K
2021	1,110	$13K
2022	1,340	$16K
2023	1,436	$12K
2024incomplete	1,338	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	53%	4,761	1,250	$45K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	1,903	721	$25K
99223	Prolong inpt eval add15 m	9.9%	309	275	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	6.9%	153	34	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	144	120	$331.47
99308	Subsequent nursing facility care, per day, straightforward	<1%	23	15	$196.46
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	<1%	26	24	$39.26

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, AWANI (OWNER)