Kumar, Girija

Kumar, Girija was paid $259K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoKUMAR, GIRIJA
CHICAGO, IL 60608

33aNPI1861486250assigned 08/31/2005

33bProvider typeInternal Medicine Physician

28Total paid$259K

24GClaims5,303

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#284 of 3,722

Median peer was paid$26K

This provider vs. median10×

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	354	$13K
2019	594	$21K
2020	666	$29K
2021	983	$38K
2022	1,376	$85K
2023	898	$46K
2024incomplete	432	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	45%	1,728	1,551	$117K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	1,711	1,526	$70K
90739		7.1%	142	102	$18K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	5.8%	192	167	$15K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.5%	137	118	$12K
90686		4.1%	559	384	$11K
90746		1.5%	59	48	$4K
90651		1.0%	17	12	$3K
0001A		<1%	87	63	$2K
0012A		<1%	50	49	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	72	$2K
90656		<1%	63	49	$1K

5 more codes

0002A		<1%	30	$1K
99490	Ccm add 20min	<1%	46	$439.66
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	300	$177.44
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	13	$91.88
36415	Collection of venous blood by venipuncture	<1%	88	$23.78

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.