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

Rajesh Kumar MD PLLC

Rajesh Kumar MD PLLC was paid $317K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.

33Billing provider infoRAJESH KUMAR MD PLLC
OKLAHOMA CITY, OK 73106
33aNPI1871730333assigned 01/20/2009
33bProvider typeNephrology Physician
28Total paid$317K
24GClaims4,916
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Oklahoma

Rank by total paid#7 of 23
Median peer was paid$82K
This provider vs. median3.9×

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$5.0K$10K2018201920202021202220232024
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
2018901$40K
2019869$42K
2020817$43K
2021581$48K
2022721$57K
2023543$51K
2024incomplete484$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 55% 2,592 1,583 $174K
99223 Prolong inpt eval add15 m 14% 553 541 $45K
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 9.8% 630 624 $31K
90961 7.8% 448 448 $25K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 6.7% 367 367 $21K
90962 5.4% 307 307 $17K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.0% 19 12 $3K

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, RAJESH (MD)