NP / PA
DR. Kusum T Nigam Internal Medicine PLLC
DR. Kusum T Nigam Internal Medicine PLLC was paid $18K by Medicaid between Jan 2018 and Dec 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoDR. KUSUM T NIGAM INTERNAL MEDICINE PLLC
LOUISVILLE, KY 40215
LOUISVILLE, KY 40215
33aNPI1891863486assigned 12/01/2006
33bProvider typeMedical Physician Assistant
28Total paid$18K
24GClaims1,975
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#37 of 45
Median peer was paid$258K
This provider vs. median0.1×
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
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 | 895 | $10K | |
| 2019 | 1,080 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 414 | 385 | $14K |
| 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 | 25% | 91 | 80 | $4K |
| 3074F | 0% | 186 | 177 | $0.00 | |
| 3079F | 0% | 50 | 47 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | 13 | $0.00 |
| 3008F | 0% | 64 | 60 | $0.00 | |
| 1160F | 0% | 558 | 504 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 187 | 169 | $0.00 |
| 3078F | 0% | 144 | 138 | $0.00 | |
| 1159F | 0% | 267 | 242 | $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 officialNIGAM, KUSUM (OWNER)