Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KUMAR, RATNESH

NPI: 1952544918 · HOFFMAN ESTATES, IL 60169 · Pediatrics Physician · NPI assigned 04/07/2009

$1.63M
Total Medicaid Paid
20,564
Total Claims
17,873
Beneficiaries
31
Codes Billed
2018-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $5K
2019 450 $22K
2020 54 $3K
2022 3,400 $228K
2023 5,031 $271K
2024 11,475 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,648 2,282 $904K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,889 4,190 $250K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,766 3,421 $186K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,234 3,665 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 949 744 $64K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 679 614 $63K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 231 212 $21K
87486 331 291 $15K
87581 331 291 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 323 293 $11K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 393 353 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling 29 22 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 563 386 $5K
99000 200 193 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 16 16 $2K
94762 73 64 $2K
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 16 16 $1K
87400 89 79 $722.85
81003 306 273 $655.09
96110 Developmental screening, with scoring and documentation, per standardized instrument 22 21 $430.89
87081 73 68 $411.80
94760 132 124 $402.86
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $330.65
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 13 13 $325.00
96127 41 39 $248.48
81025 48 46 $243.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 12 $232.00
92587 18 17 $210.29
81002 62 61 $156.68
J1885 Injection, ketorolac tromethamine, per 15 mg 32 30 $19.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 25 $19.31