Kumaraguru, Priya

Kumaraguru, Priya was paid $83K by Medicaid between Jan 2018 and Jul 2020, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoKUMARAGURU, PRIYA
ALTON, IL 62002

33aNPI1902062862assigned 07/31/2008

33bProvider typeFamily Medicine Physician

28Total paid$83K

24GClaims2,506

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,077 of 2,947

Median peer was paid$43K

This provider vs. median2.0×

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	583	$18K
2019	1,401	$46K
2020	522	$20K

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	73%	1,309	1,194	$61K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	361	328	$15K
99336		2.8%	394	345	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	72	59	$2K
90686		1.7%	77	71	$1K
99335		<1%	163	144	$810.74
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	30	24	$611.33
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	15	12	$401.60
99334		<1%	19	18	$126.30
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	51	44	$28.00
99442		0%	15	13	$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.