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NPI 1225065634 · Parsippany, NJ · Internal Medicine Physician
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Sadhana Kumar is a internal medicine physician provider located in Parsippany, New Jersey. This profile covers 15 Medicare and 8 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 | Sadhana Kumar |
| Address | 362 Parsippany Rd |
| City | Parsippany |
| State | NJ |
| ZIP | 07054 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $221.1K |
| Medicare | $194.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 580 | $100 | $57.9K |
| 99309 | The 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… | 510 | $90 | $44.9K |
| 99233 | The 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… | 290 | $100 | $28.2K |
| 90962 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 110 | $170 | $17.9K |
| 99306 | The 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… | 70 | $150 | $10.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $140 | $7.2K |
| 99223 | The 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… | 50 | $140 | $6.8K |
| 99239 | The 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… | 50 | $90 | $4.4K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 110 | $40 | $4.3K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 10 | $230 | $3.3K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 389 | 1,400 | 210 | $80 | $37.5K |
| 99214 | 1,594 | 13,640 | 130 | $90 | $23.6K |
| 99233 | 1,039 | 4,270 | 110 | $100 | $22.5K |
| 99306 | 345 | 850 | 50 | $150 | $13.3K |
| 99213 | 10,658 | 14,090 | 100 | $70 | $13.1K |
| 99457 | 219 | 330 | 160 | $40 | $11.9K |
| 99223 | 2,528 | 4,980 | 50 | $140 | $11.8K |
| G0439 | 1,896 | 3,370 | 70 | $120 | $11.5K |
| 99239 | 1,038 | 1,710 | 70 | $100 | $9.5K |
| 90962 | 5 | 60 | 40 | $170 | $8.7K |
Showing 1–10 of 15
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 4,690 | $40 | $178.4K |
| 99309 | The 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… | 2,020 | $20 | $34.4K |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 120 | $50 | $5.4K |
| 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… | 80 | $30 | $2.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 140 | $10 | $1.7K |
| 99306 | The 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… | 10 | $30 | $350 |
| 3074F | No Summary found for this code | 40 | $0 | $0 |
| 3078F | No Summary found for this code | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 3,569 | 4,450 | 740 | $40 | $229.8K |
| 99214 | The 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… | 533 | 3,790 | 580 | $60 | $204K |
| 99309 | The 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… | 121 | 490 | 380 | $20 | $41K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 643 | 1,080 | 270 | $10 | $19.1K |
| 99306 | The 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… | 147 | 170 | 60 | $30 | $8.9K |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 38 | 150 | 40 | $30 | $5.5K |
| 3074F | No Summary found for this code | 313 | 390 | 270 | $1 | $80 |
| 3078F | No Summary found for this code | 283 | 370 | 310 | $1 | $80 |
Other providers in the same ZIP code as Sadhana Kumar, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Caring For Life Adult Medical Daycare | NJ | Adult Day Care Clinic/Center | $0 | $29.9M |
| Ebi, LLC | NJ | Durable Medical Equipment & Medical Supplies | $0 | $27.1M |
| Anssr'd Care LLC | NJ | In Home Supportive Care Agency | $0 | $18.5M |
| Bayada Home Health Care, Inc. | NJ | Home Health Agency | $0 | $18.2M |
| Morris Adult Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $9.7M |
| Community Hope, Inc. | NJ | Community/Behavioral Health Agency | $0 | $8.9M |
| Subhadra Shah | NJ | MOHS-Micrographic Surgery Physician | $741.8K | $0 |
| Bio Serve Inc | NJ | Clinical Medical Laboratory | $690.6K | $19.4K |
| Morris County Surgical Center LLC | NJ | Ambulatory Surgical Clinic/Center | $500.6K | $0 |
| James Hirschfeld | NJ | Ophthalmology Physician | $417.5K | $0 |
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