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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSumit Kunwar
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    Sumit Kunwar — Billing Profile & Reimbursement Data

    NPI 1124332481 · Bel Air, MD · Rheumatology Physician

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    Sumit Kunwar is a rheumatology physician provider located in Bel Air, Maryland. This profile covers 17 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
    OrganizationSumit Kunwar
    Address2225 Old Emmorton Rd Ste 110
    CityBel Air
    StateMD
    ZIP21015
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 28, 2010

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

    Payer SourceTotal Paid
    Medicare$724.6K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)73,600$1$294.4K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)6,900$30$220.8K
    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…850$100$80.9K
    J0897Injection, denosumab, 1 mg2,580$20$49K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.420$60$25.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…210$110$22.7K
    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…130$120$15.7K
    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$13K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…50$50$2.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…40$50$2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012920406,060$30$290.2K
    J071753041,000$1$225.7K
    J08972113403,600$20$114.4K
    96413109230200$110$29.6K
    9921474110,270150$90$24.1K
    99490177220110$50$15K
    9640121190140$60$12.5K
    992133,0009,280100$60$12.5K
    992153,9894,07050$120$10.9K
    9636518822090$50$8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Concord Hospital-franklinNHCritical Access Hospital$0$7.3M
    Concord Hospital-franklinNHRural Health Clinic/Center$0$3.6M
    LrghealthcareNHFamily Medicine Physician$0$2.9M
    Mariam AmeriMDRheumatology Physician$1.9M$0
    Ashok JacobMDRheumatology Physician$1.4M$0
    Jonathan MillerDCInternal Medicine Physician$795.7K$0
    Saira BilalDCRheumatology Physician$755.4K$0
    Susan BergerMDRheumatology Physician$714.2K$0
    Ayobami OjutalayoMAFamily Medicine Physician$521.7K$1.6K
    Michael BuffNHHematology & Oncology Physician$387.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspire Living & Learning, Inc.MDCommunity/Behavioral Health Agency$0$21.2M
    Achieve Behavioral Health Services LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$9M
    Bel Air Recovery Center, LLCMDMethadone Clinic$161.8K$6M
    The Maryland Therapy Network, IncMDSpeech-Language Pathologist$0$5.7M
    Safe Harbor Community ServicesMDMental Health Clinic/Center (Including Community Mental Health Center)$0$4.7M
    Summit Ambulatory Surgical Center, LLCMDAmbulatory Surgical Clinic/Center$1.4M$1.5K
    Matthew MardineyMDAllergy & Immunology Physician$1.4M$0
    Bel Air Endoscopy Asc LLCMDAmbulatory Surgical Clinic/Center$1.1M$71.9K
    Ravikumar BhalavatMDPsychiatry Physician$362.3K$671.6K
    Sriram BalasubramanianMDInternal Medicine Physician$996.8K$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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Sumit Kunwar — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland