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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNaveen Kumar
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    Naveen Kumar — Billing Profile & Reimbursement Data

    NPI 1306038450 · Gilbert, AZ · Otolaryngology/Facial Plastic Surgery Physician

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    Naveen Kumar is a otolaryngology/facial plastic surgery physician provider located in Gilbert, Arizona. This profile covers 12 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
    OrganizationNaveen Kumar
    Address3485 S Mercy Rd
    CityGilbert
    StateAZ
    ZIP85297
    TaxonomyOtolaryngology/Facial Plastic Surgery Physician
    NPI EnumeratedAugust 13, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.140$3,570$506.2K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…140$1,690$238.6K
    69706Surgical nasal endoscopy consists of the use of a medical device that has a thin rigid or a flexible tube to view the sinuses and nasal passages. In this procedure, the endoscopy provides an approach…60$2,000$115.9K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.600$140$87K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.180$290$51.7K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.340$100$34.3K
    99203The provider sees a new 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 provider…410$80$33K
    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…390$70$26.8K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).140$170$24K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.130$30$3.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129831050$3,590$265.7K
    3129531050$1,700$117.2K
    6970611040$2,060$76.2K
    31231112070$130$16.3K
    3123714040$260$15.2K
    3014033030$250$11.7K
    992139979,60080$60$9.6K
    315758512060$90$6.6K
    99203194,10040$70$4K
    70486128030$60$2.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Veena VatsAZFacial Plastic Surgery Physician$162.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel KreutzAZRheumatology Physician$2.8M$0
    Joonhee LimAZRheumatology Physician$2.3M$0
    Warner Park Surgery Center LLCAZAmbulatory Surgical Clinic/Center$964.6K$694.3K
    Zaki LababidiAZCardiovascular Disease Physician$1.3M$0
    Surgcenter Chandler, LLCAZAmbulatory Surgical Clinic/Center$1.1M$0
    Ortho Arizona Surgery Center Gilbert, LLCAZAmbulatory Surgical Clinic/Center$834.1K$0
    Ocotillo Surgery Center LLCAZAmbulatory Surgical Clinic/Center$606.2K$222.1K
    Khaled AlbashaAZCardiovascular Disease Physician$608.2K$0
    Daniel CondieAZDermatology Physician$552.8K$0
    Devendra WadwekarAZEndocrinology, Diabetes & Metabolism Physician$528.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Naveen Kumar — 5 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona