Physician
Kumar, Prem
Kumar, Prem was paid $36K by Medicaid between Oct 2020 and Sep 2024, across 3 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 59% of everything it billed.
33Billing provider infoKUMAR, PREM
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1962571299assigned 11/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$36K
24GClaims3,828
24DCodes billed3
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#396 of 1,726
Median peer was paid$6K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2020 | 127 | $789.53 | |
| 2021 | 1,140 | $12K | |
| 2022 | 1,040 | $10K | |
| 2023 | 1,041 | $9K | |
| 2024incomplete | 480 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 59% | 3,302 | 3,076 | $21K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 26% | 277 | 269 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 249 | 236 | $5K |
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.