Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ana Kumar — Billing Profile & Reimbursement Data

NPI 1215905971 · Edmond, OK · Rheumatology Physician

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Ana Kumar is a rheumatology physician provider located in Edmond, Oklahoma. This profile covers 63 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.

Ana Kumar — Billing Profile & Reimbursement Data

NPI 1215905971 · Edmond, OK · Rheumatology Physician

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Provider details (source: NPPES NPI Registry)

Field	Value
Entity Type	Individual
Organization	Ana Kumar
Address	1701 Renaissance Blvd
City	Edmond
State	OK
ZIP	73013
Taxonomy	Rheumatology Physician
NPI Enumerated	March 9, 2006

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

Payer Source	Total Paid
Medicare	$4.1M
Medicaid	$0

ANA KUMAR is effectively a Medicare-focused rheumatology physician with lifetime Medicare revenue of $4.1M and no Medicaid billing on file; the absence of Medicaid activity makes this provider essentially single-payer (Medicare) in scale and influence. The NPI was enumerated on 2006-03-09 (~20 years ago), indicating long tenure in the Medicare program which supports sustained, established infusion and injection services over time. Revenue concentration is high: the precomputed top 3 Medicare codes account for 51.8% of total Medicare revenue, signaling that a small set of biologic infusion codes disproportionately drive the practice’s income. The top revenue-driving code is J1745 (infliximab) with $783.9K revenue (18.9% of Medicare revenue) and the dataset flags this as an extreme outlier nationally (100th percentile), indicating ANA KUMAR ranks well above typical national volume for administering infliximab. J0129 (abatacept) and J1602 (golimumab) are also major contributors with $703.8K (17.0%) and $656.9K (15.9%) respectively; J1602 is identified as notably above typical national volume (98th percentile) while J0129 is unremarkable by percentile (90th), together confirming the practice focuses on high-volume biologic infusions. The code mix—dominated by J1745, J0129, J1602 and other injectable biologics such as J3262 (tocilizumab) and J0490 (belimumab)—is consistent with a specialty infusion clinic model within rheumatology that routinely administers high-cost, clinician-administered biologic therapies rather than office visits or procedures as the primary revenue source. Competitive standing across codes is mixed: the provider is a national outlier for several infusion and chemo-adjunct codes (e.g., 96413 ranks in the 99th percentile and is called an extreme outlier; 96375 and 96415 similarly flag extreme outlier status), while for other biologics the provider appears as a high-volume but more typical participant (J0129 and J3262 in the 90th percentile range). Ancillary services and office evaluation-and-management contribute a small share of revenue—99214 accounts for $72.9K (1.8%) and routine lab codes like 80053 and 85025 each contribute roughly $6K–$4.2K—reinforcing that infusion/injectable drug administration is the predominant service line rather than E/M or diagnostic testing. Several individual codes show extreme or notable outlier status (J1745, 96413, 96375, 96415, J2930, 99214) which suggests the practice’s scale for certain infusion and chemo-adjunct services is far above typical peers nationally; these ranks imply market concentration in provision of particular IV and injectable therapies rather than broad, diversified outpatient care.

Medicare revenue breakdown by CPT/HCPCS procedure code.

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

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	30,150	$30	$783.9K
J0129	Injection, 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)	20,700	$30	$703.8K
J1602	Injection, golimumab, 1 mg, for intravenous use	65,690	$10	$656.9K
J3262	Injection, tocilizumab, 1 mg	90,930	$10	$454.6K
J0490	Injection, belimumab, 10 mg	8,730	$40	$331.9K
J9312	Injection, rituximab, 10 mg	4,100	$60	$258.4K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	4,960	$40	$173.6K
J0491	Injection, anifrolumab-fnia, 1 mg	13,510	$10	$162.1K
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	3,380	$40	$125.1K
J0897	Injection, denosumab, 1 mg	6,720	$20	$121K

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

Full comparison — all codes billed, vs. state median

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	5	10	16,680	$30	$661.9K
J0490	2	10	8,730	$40	$562.9K
J3262	4	10	82,050	$1	$432.8K
J1602	4	20	25,400	$10	$412.3K
J1745	2	10	6,400	$30	$312.2K
J9312	3	10	3,650	$60	$246.8K
J0491	2	10	13,510	$10	$229.2K
J3111	15	20	22,470	$10	$216.7K
J1459	2	10	3,380	$40	$150.3K
J1569	4	20	3,670	$30	$125.8K

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Arthritis Center, P.C.	OK	Rheumatology Physician	$0	$10.1M
Craig Carson	OK	Rheumatology Physician	$9.7M	$0
Keshav Panday	OK	Specialist	$3.3M	$0
Graciela Gallardo	OK	Family Medicine Physician	$710K	$0
Spencer Wopart	OK	Nurse Practitioner	$379.2K	$0
Sterling Riggs	OK	Interventional Pain Medicine Physician	$184.5K	$0
Kelsey Landon	OK	Physician Assistant	$122.4K	$0
Cindy Hagan	OK	Medical Physician Assistant	$105K	$0
Latosha Redd	OK	Family Nurse Practitioner	$104K	$0
Candice Breeden	OK	Physician Assistant	$95.5K	$0

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialty Care Pediatrics, Inc.	OK	Home Health Agency	$0	$44.8M
Medical Resource Management, LLC	OK	Urgent Care Clinic/Center	$0	$14.9M
Sand Lily Healthcare, Inc.	OK	In Home Supportive Care Agency	$0	$8.9M
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Summit Medical Center	OK	General Acute Care Hospital	$0	$7.1M
Brian Phelps	OK	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Sandeep Shah	OK	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Ryan Ridges	OK	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Pathways Professional Counseling LLC	OK	Community/Behavioral Health Agency	$0	$3.4M

Ana Kumar — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References