Kumar, Munish

Kumar, Munish was paid $154K by Medicaid between Jan 2018 and Oct 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoKUMAR, MUNISH
MONROE, NY 10950

33aNPI1922409994assigned 09/10/2014

33bProvider typePediatrics Physician

28Total paid$154K

24GClaims1,962

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#626 of 1,983

Median peer was paid$17K

This provider vs. median9.1×

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	33	$873.45
2019	86	$4K
2020	161	$5K
2021	649	$52K
2022	894	$81K
2023	139	$11K

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	59%	936	875	$90K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	26%	279	275	$40K
90460	Immunization administration through 18 years of age via any route, first or only component	7.2%	456	452	$11K
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	5.6%	67	61	$9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	1.5%	31	31	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	12	$1K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	31	31	$775.00
90686		<1%	150	150	$18.37

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.