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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnil Kumar
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    Anil Kumar — Billing Profile & Reimbursement Data

    NPI 1073619615 · Rochester Hills, MI · Urology Physician

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    Anil Kumar is a urology physician provider located in Rochester Hills, Michigan. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnil Kumar
    Address2450 Walton Blvd
    CityRochester Hills
    StateMI
    ZIP48309
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$177.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established 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…610$90$57.7K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…70$310$22.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$60$16.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg100$140$13K
    99213The 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…190$70$12.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$110$8.5K
    99204The 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…60$120$7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$70$6.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$440$5.3K
    51705In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.70$80$5.3K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92175780140$130$22.5K
    50590142020$550$14.8K
    992321,4756,73090$60$12K
    9921448315,47080$80$11.4K
    520007126060$140$10.9K
    992132,55214,81060$60$6.6K
    5172923020$220$5.3K
    992227474,81030$100$5K
    992041,1156,28030$110$4.2K
    557009811020$160$3.9K

    Showing 1–10 of 26

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Anil Kumar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey GreskiMIUrology Physician$132.2K$0
    Atul RajpurkarMIUrology Physician$112.7K$0
    Jessica HathawayMIFamily Nurse Practitioner$28.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Anil Kumar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Infusystem IncMIDurable Medical Equipment & Medical Supplies$0$30.2M
    Natural Freedom IncMIHome Health Agency$0$9.6M
    Wright & Filippis, LLCMIProsthetic/Orthotic Supplier$0$5.4M
    City Of Rochester HillsMIAmbulance$750.5K$759.4K
    Oakland Surgi Center IncMIAmbulatory Surgical Clinic/Center$1.1M$158.4K
    Sachi GowdaMIInfectious Disease Physician$566.4K$0
    Renuka HeddurshettiMIInfectious Disease Physician$468.5K$0
    Raad KasmikhaMIInternal Medicine Physician$115.3K$301.9K
    Abdul Al-kassabMIEndocrinology, Diabetes & Metabolism Physician$254K$0
    Ronak TalatiMIInfectious Disease Physician$235.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Anil Kumar — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan