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NPI 1013922335 · Cortland, NY · Otolaryngology Physician
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Manoj Kumar is a otolaryngology physician provider located in Cortland, New York. This profile covers 18 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Manoj Kumar |
| Address | 64 Pomeroy St |
| City | Cortland |
| State | NY |
| ZIP | 13045 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | July 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $193.7K |
| Medicaid | $44.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 690 | $60 | $42.5K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 270 | $140 | $37.3K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 350 | $80 | $28.3K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 210 | $90 | $18.6K |
| 31579 | The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination… | 120 | $150 | $16.9K |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 150 | $70 | $10.2K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 130 | $70 | $9.8K |
| 70480 | The provider uses computed tomography, or CT, to examine the eye’s orbit, the sella or posterior fossa of the skull, or the outer, middle, or inner ear. The provider does not administer contrast for… | 120 | $80 | $9.3K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 50 | $120 | $5.8K |
| 10005 | Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and… | 40 | $110 | $3.8K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 31231 | 123 | 520 | 110 | $170 | $30.4K |
| 31579 | 33 | 90 | 60 | $180 | $23.1K |
| 99214 | 25,052 | 30,450 | 90 | $100 | $19K |
| 99213 | 1,401 | 31,440 | 80 | $70 | $12.1K |
| 31575 | 45 | 580 | 60 | $100 | $8.8K |
| 99204 | 4,660 | 14,170 | 30 | $130 | $6.6K |
| 76536 | 40 | 1,080 | 50 | $70 | $6.3K |
| 92557 | 373 | 690 | 110 | $30 | $5.2K |
| 43450 | 24 | 30 | 30 | $120 | $4.7K |
| 99203 | 900 | 11,360 | 30 | $90 | $4.7K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,790 | $20 | $35.9K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 310 | $30 | $7.7K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 70 | $20 | $1.5K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 10 | $1 | $10 |
| 1036F | N/A | 480 | $0 | $0 |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 80 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 50 | $0 | $0 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 30 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 720 | $0 | $0 |
| G8482 | Influenza immunization administered or previously received | 290 | $0 | $0 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 183 | 260 | 300 | $170 | $325.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 5,115 | 19,110 | 360 | $70 | $321K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 188 | 200 | 140 | $100 | $73.5K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 204 | 480 | 190 | $70 | $65.2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 543 | 2,000 | 210 | $1 | $90 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 128 | 450 | 150 | $1 | $50 |
| 1036F | N/A | 526 | 1,770 | 150 | $1 | $50 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 1,015 | 1,160 | 300 | $1 | $30 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 770 | 1,060 | 190 | $1 | $30 |
| G8482 | Influenza immunization administered or previously received | 90 | 360 | 60 | $1 | $30 |
Showing 1–10 of 13
Other providers in the same ZIP code as Manoj Kumar, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Guthrie Cortland Medical Center | NY | General Acute Care Hospital | $0 | $28.2M |
| Tlc Emergency Medical Services Inc | NY | Land Ambulance | $657.2K | $3.9M |
| Adam Moskowitz | NY | Gastroenterology Physician | $547K | $309K |
| Cortland Asc, LLC | NY | Ambulatory Surgical Clinic/Center | $8.1K | $488.4K |
| Jacqueline Fergerson | NY | Ophthalmology Physician | $371.7K | $1.8K |
| David Ouyang | NY | Family Medicine Physician | $232.9K | $20.8K |
| Matthew Noble | NY | Family Medicine Physician | $197.6K | $3.2K |
| Amanda Holley | NY | Nurse Practitioner | $52.5K | $8.9K |
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