Thimmiah Kumar MD PA

Thimmiah Kumar MD PA was paid $66K by Medicaid between Feb 2019 and Nov 2024, across 16 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 43% of everything it billed.

33Billing provider infoTHIMMIAH KUMAR MD PA
OCALA, FL 34471

33aNPI1881794097assigned 09/25/2006

33bProvider typeGastroenterology Physician

28Total paid$66K

24GClaims8,196

24DCodes billed16

24AFirst – last monthFeb 2019 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#55 of 166

Median peer was paid$27K

This provider vs. median2.4×

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
2019	286	$4K
2020	904	$14K
2021	2,118	$33K
2022	2,596	$13K
2023	1,601	$1K
2024incomplete	691	$812.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	43%	538	482	$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	27%	1,587	1,370	$18K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	22%	379	336	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	372	309	$4K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	2.4%	13	12	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,461	1,257	$48.57
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	842	724	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	1,099	958	$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%	253	233	$0.00
G8482	Influenza immunization administered or previously received	0%	442	396	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	778	677	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	82	75	$0.00

4 more codes

G9716	Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason	0%	13	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	262	$0.00
G9908	Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	60	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	15	$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, THIMMAIH (DIRECTOR)