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

Rukmini D. Kumar, M.D., P.A.

Rukmini D. Kumar, M.D., P.A. was paid $2.33M by Medicaid between Jun 2018 and Dec 2024, across 87 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoRUKMINI D. KUMAR, M.D., P.A.
HOUSTON, TX 77074
33aNPI1851611370assigned 06/07/2010
33bProvider typePediatrics Physician
28Total paid$2.33M
24GClaims101,278
24DCodes billed87
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#208 of 1,136
Median peer was paid$329K
This provider vs. median7.1×

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$25K$50K$75K2018201920202021202220232024
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
2018419$32K
20191,179$49K
20206,346$163K
202119,553$501K
202224,981$484K
202326,103$608K
2024incomplete22,697$494K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 17,642 15,417 $681K
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 13% 5,427 4,931 $297K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 3,292 3,260 $275K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 2,692 2,675 $241K
90460 Immunization administration through 18 years of age via any route, first or only component 8.3% 17,256 8,949 $193K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.9% 2,306 2,187 $185K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.5% 1,818 1,717 $82K
99429 2.7% 1,763 1,742 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 489 487 $48K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 3,771 2,801 $32K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 1,804 1,701 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,606 1,521 $23K
75 more codes
92552 <1% 3,458 $19K
99222 Initial hospital care, per day, moderate complexity <1% 160 $17K
90461 <1% 2,301 $15K
0071A <1% 361 $14K
90480 <1% 476 $13K
0072A <1% 308 $13K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,469 $12K
99460 <1% 131 $10K
99238 Hospital discharge day management, 30 minutes or less <1% 170 $10K
99239 Hospital discharge day management, more than 30 minutes <1% 127 $10K
0154A <1% 247 $10K
0081A <1% 217 $8K
0082A <1% 159 $6K
0073A <1% 115 $5K
0173A <1% 116 $5K
87428 <1% 58 $4K
99381 <1% 42 $4K
0083A <1% 80 $3K
96160 <1% 625 $1K
99050 <1% 204 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 34 $1K
99232 Hospital visit by a doctor, follow-up day <1% 14 $691.88
90619 <1% 55 $638.52
0001A <1% 14 $560.00
0124A <1% 14 $560.00
90670 <1% 997 $433.91
99051 <1% 52 $406.46
96380 <1% 12 $241.48
90710 <1% 668 $241.18
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16 $179.00
91319 <1% 171 $136.63
91320 <1% 29 $131.15
97802 <1% 628 $91.56
90680 <1% 1,060 $90.80
90698 <1% 398 $86.40
97803 <1% 112 $52.70
90633 <1% 703 $36.31
90686 <1% 4,492 $20.09
91307 <1% 897 $1.44
90651 <1% 531 $1.15
90677 <1% 385 $0.87
90697 <1% 617 $0.80
90671 <1% 277 $0.68
91317 <1% 116 $0.20
91318 <1% 118 $0.14
90696 <1% 139 $0.07
90744 <1% 157 $0.07
90380 <1% 18 $0.05
91308 <1% 504 $0.05
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 3,602 $0.01
90734 <1% 28 $0.01
90700 <1% 91 $0.01
90648 <1% 86 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 221 $0.00
3008F 0% 1,280 $0.00
90620 0% 13 $0.00
91315 0% 246 $0.00
3074F 0% 259 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 12 $0.00
96161 0% 87 $0.00
90656 0% 531 $0.00
1125F 0% 44 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 0% 14 $0.00
3078F 0% 262 $0.00
G8482 Influenza immunization administered or previously received 0% 4,811 $0.00
99173 0% 3,049 $0.00
1159F 0% 1,857 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 472 $0.00
99188 0% 215 $0.00
91300 0% 47 $0.00
90685 0% 51 $0.00
84030 0% 14 $0.00
91312 0% 14 $0.00
90655 0% 15 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 39 $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 officialKUMAR, RUMKINI (PHYSICIAN)