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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Dhirendra Kumar (NPI 1437326915)

Field	Value
Entity Type	Individual
Organization	Dhirendra Kumar
Address	2 Sharpe St
City	Kingston
State	PA
ZIP	18704
Taxonomy	Family Medicine Physician
NPI Enumerated	May 13, 2008

Payer Source	Total Paid
Medicare	$638.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,920	$90	$443.2K
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…	660	$150	$101.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	650	$60	$41K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	430	$60	$27.1K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	180	$70	$12.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	40	$110	$4.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$110	$3.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$130	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Dhirendra Kumar — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	5	1,660	170	$80	$27.4K
99308	249	1,480	110	$50	$14.3K
99310	629	780	60	$110	$13.8K
99306	4	760	50	$140	$11.4K
99305	321	600	40	$100	$6.8K
99497	1	920	40	$60	$4K
99316	119	390	30	$90	$3.7K
99315	2	170	30	$60	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Schwartz	MD	Ophthalmology Physician	$4.2M	$0
Amir Guerami	CA	Ophthalmology Physician	$1.9M	$0
David Kouba	OH	Dermatology Physician	$1.9M	$0
Albert Li	NY	Retina Specialist (Ophthalmology) Physician	$1M	$329K
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Lee Resta	VA	Hematology & Oncology Physician	$1.1M	$0
Amelia Wnorowski	MD	Diagnostic Radiology Physician	$1.1M	$1.9K
Pradip Amin	MD	Radiation Oncology Physician	$865.7K	$0
Cristina Campassi	MA	Diagnostic Radiology Physician	$800.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beyond Behavior Consulting	PA	Behavior Analyst	$0	$10.3M
Keystone Behavior Services, LLC	PA	Community/Behavioral Health Agency	$0	$6.1M
Luzerne Intermediate Unit #18	PA	Community/Behavioral Health Agency	$0	$5.7M
Bruce Saidman	PA	Hematology & Oncology Physician	$3.4M	$1
David Greenwald	PA	Hematology & Oncology Physician	$2.7M	$590
Erik Kruger	PA	Ophthalmology Physician	$2.4M	$11.8K
Surgical Specialty Center Of Northeastern Pennsylvania, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$124.1K
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Radu Pacurariu	PA	Ophthalmology Physician	$1M	$0
Mark Grohol	PA	Optometrist	$221.5K	$697.4K

Dhirendra Kumar — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References