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    OpenPayerNPI Medicare & MedicaidSudhir Kumar
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    Sudhir Kumar — Billing Profile & Reimbursement Data

    NPI 1275509069 · Forrest City, AR · Internal Medicine Physician

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    Sudhir Kumar is a internal medicine physician provider located in Forrest City, Arkansas. This profile covers 23 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSudhir Kumar
    Address1801 Lindauer Rd
    CityForrest City
    StateAR
    ZIP72335
    TaxonomyInternal Medicine Physician
    NPI EnumeratedFebruary 23, 2006

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

    Payer SourceTotal Paid
    Medicaid$302K
    Medicare$83.5K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$40$29.2K
    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…320$40$13.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit190$50$9.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.520$10$4.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…80$50$3.8K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…110$30$3.5K
    G0008Administration of influenza virus vaccine110$30$3.1K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc60$50$2.8K
    G0444Annual depression screening, 5 to 15 minutes150$20$2.5K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…60$40$1.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,2194,300130$70$18.8K
    G04392001,06080$90$10.1K
    992131374,180100$50$9.6K
    2061024942050$40$5.2K
    99348255060$50$4.9K
    9949618023020$160$4.5K
    9949718824040$50$4.3K
    U000241040$50$2.9K
    G00083881,34060$30$2.5K
    364152291,350130$10$2.5K

    Showing 1–10 of 23

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…4,970$30$169.1K
    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…1,980$60$120.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,900$1$5.7K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…240$20$5.1K
    90661This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…20$30$510
    G0008Administration of influenza virus vaccine10$10$160
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arkansas median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4201,520550$40$128.7K
    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…2211,740550$30$88.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.113550330$1$10K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.8513040$10$2K
    90661This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…334030$10$820
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…97030$10$760
    G0008Administration of influenza virus vaccine32535040$1$240

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kids For The Future Of Forrest City, Inc.AREarly Intervention Provider Agency$0$23M
    Silver Lining Senior Care LLCARIn Home Supportive Care Agency$0$21.6M
    St. Francis Area Developmental CenterARDevelopmentally Disabled Services Day Training Agency$0$19.4M
    Forrest City Home Medical Equipment, LLCARHome Health Agency$0$13.7M
    Pediatric Dentistry Of Eastern ArkansasARPediatric Dentistry$0$11.5M
    Kids For The Future, Inc.ARClinical Child & Adolescent Psychologist$0$11.5M
    Elite Home Care, LLCARHome Health Agency$0$8.6M
    Forrest City Arkansas Hospital Company LLCARGeneral Acute Care Hospital$0$7.4M
    East Arkansas Childrens ClinicARPrimary Care Clinic/Center$0$4.4M
    Ambulance Services Of Forrest City LLCARAmbulance$366.7K$3.5M

    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. Arkansas Distribution
    Sudhir Kumar — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Sudhir Kumar — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas