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    OpenPayerNPI Medicare & MedicaidReliant Physicians (kumar) PLLC
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    Reliant Physicians (kumar) PLLC — Billing Profile & Reimbursement Data

    NPI 1093285462 · Las Vegas, NV · Hospitalist Physician

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    Reliant Physicians (kumar) PLLC is a hospitalist physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 40 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 TypeOrganization
    OrganizationReliant Physicians (kumar) PLLC
    Address1180 N Town Center Dr Ste 100
    CityLas Vegas
    StateNV
    ZIP89144
    TaxonomyHospitalist Physician
    NPI EnumeratedNovember 28, 2018

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

    Payer SourceTotal Paid
    Medicaid$16.8M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only biller at scale: there is no Medicare billing on file and reported lifetime Medicaid revenue of $16.8M. The absence of Medicare activity means payer mix is highly concentrated toward Medicaid rather than split across traditional Medicare/Medicaid channels.

    Revenue is highly concentrated in a small set of codes: the top three Medicaid codes account for 70.1% of total Medicaid revenue, driven by 99309 ($6.4M, 38.2%), 99233 ($3M, 17.7%), and 99223 ($2.4M, 14.2%). This concentration indicates that a few high-volume inpatient and nursing-facility E/M services dominate the practice’s revenue base.

    The code mix and code descriptions point to a facility-based, hospitalist-oriented operation. High shares in nursing facility subsequent care (99309) and inpatient initial/subsequent hospital care (99223, 99233) align with the provider’s reported taxonomy as Hospitalist Physician and suggest routine management of inpatient and post-acute populations rather than office-based primary care.

    Competitive standing within Nevada is strong for several high-revenue codes: 99309 ranks #1 of 138 providers in-state (100th percentile; extreme outlier), 99223 ranks #6 of 434 (99th percentile; extreme outlier), and 99233 ranks #12 of 472 (98th percentile; notably above typical state volume). Those ranks indicate this provider is a major statewide participant for nursing-facility follow-ups and for high-complexity hospital inpatient visits.

    Discharge and short-stay management also contribute materially: 99239 appears with $1.4M (8.3% of Medicaid revenue) and ranks #3 of 226 providers in-state (99th percentile; notably above typical state volume), reflecting a substantial role in inpatient discharge day management and throughput. The presence of both high-volume extended visits and frequent discharge codes suggests high patient turnover and consistent inpatient census.

    Average paid-per-claim patterns reinforce the acuity mix: 99309 shows $73 avg paid/claim, 99233 shows $79 avg paid/claim, and 99223 shows $153 avg paid/claim. The higher per-claim payment for 99223—an initial high-complexity inpatient visit—matches its role as a material revenue driver and is consistent with services that require longer face-to-face time or higher medical decision making.

    The provider also reports meaningful activity across other nursing facility and inpatient E/M levels: 99308 ($988K, 5.9%) ranks #12 of 154 in-state (93rd percentile, typical), and 99306 ($440.1K, 2.6%) ranks #3 of 72 in-state (97th percentile, notably above typical). This spread of low-, moderate-, and high-complexity SNF codes indicates an active panel of post-acute patients seen at varying intensities.

    NPI tenure is documented as enumerated 2018-11-28 (~8 years ago), indicating multiple years of operations under this enrollment record. Combined with the concentrated Medicaid revenue profile, this tenure and code mix suggest operational dependence on facility-based inpatient and SNF workflows and a corresponding exposure to Medicaid reimbursement or contracting changes affecting those specific service lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…87,970$70$6.4M
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…37,620$80$3M
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…15,560$150$2.4M
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…17,430$80$1.4M
    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…20,340$50$1M
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…18,640$50$988K
    99220N/A4,040$120$481.2K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…3,170$140$440.1K
    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…1,240$100$125K
    99217N/A2,330$50$123.5K

    Showing 1–10 of 40

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…12470380$70$281.2K
    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…33430500$40$214.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…6430180$130$158K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1140690$40$145.2K
    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…9282,250290$60$138K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…12150460$20$119.6K
    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…7972,480330$50$107.6K
    99220N/A250100$130$102.7K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…3230160$70$99.1K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…2260190$60$97.6K

    Showing 1–10 of 40

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Reliant Physicians (kumar) PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas KalayehNVInterventional Cardiology Physician$573.7K$88.4K
    Edward VictoriaNVFamily Medicine Physician$254.5K$390.3K
    Manish GuptaNVCardiovascular Disease Physician$327.4K$260.5K
    Lady May PaneloNVFamily Nurse Practitioner$283.4K$0
    Kamran KhanNVHospitalist Physician$234.2K$0
    Elihu WyattNVGerontology Nurse Practitioner$226.1K$0
    Amarjit SinghNVFamily Medicine Physician$183.7K$23.3K
    Christopher IgtibenNVInternal Medicine Physician$108.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Reliant Physicians (kumar) PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pokroy Medical Group Of Nevada, Ltd.NVNeonatal-Perinatal Medicine Physician$0$33.7M
    Summerlin Hospital Medical Center L L CNVGeneral Acute Care Hospital$0$30.3M
    Shelin Agrawal And Hyer PLLCNVDiagnostic Radiology Physician$0$20.4M
    Desert Valley Pediatrics, LLPNVPediatrics Physician$0$9.7M
    Sunshine Valley Health Care-wesley J. Robertson M.d. Prof. Corp.NVPediatrics Physician$0$6.3M
    Orthopedic Motion, IncNVSpecialist$0$3.2M
    Amir Z Qureshi Md LtdNVInternal Medicine Physician$0$2.4M
    Greater Las Vegas Dialysis LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.2M
    Retina Consultants Of Nevada LLPNVOphthalmology Physician$0$2M
    Brian VicunaNVMedical Oncology Physician$1.8M$35.9K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Nevada Providers
    4 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Reliant Physicians (kumar) PLLC — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada