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    OpenPayerNPI Medicare & MedicaidAwani Kumar
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    Awani Kumar — Billing Profile & Reimbursement Data

    NPI 1497720635 · Toms River, NJ · Pulmonary Disease Physician

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    Awani Kumar is a pulmonary disease physician provider located in Toms River, New Jersey. This profile covers 18 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
    OrganizationAwani Kumar
    Address780 Hwy 37 W
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedFebruary 21, 2006

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

    Payer SourceTotal Paid
    Medicare$711.7K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…2,480$100$245.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…2,750$70$181.2K
    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…1,000$100$100.9K
    99223The 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…330$150$48.4K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…230$180$40.2K
    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…490$70$33.5K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.250$50$12.2K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…220$50$10.2K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…250$30$8.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$140$6.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993081,0581,430230$60$29.5K
    9921448313,640130$90$23.6K
    99233104,270110$100$22.5K
    99232346,220120$70$18.4K
    992911701,97050$180$16.1K
    992131,35714,090100$70$13.1K
    992151,6873,75040$140$12K
    992231314,98050$140$11.8K
    9930548775060$100$10.6K
    992221,6684,37040$110$6.7K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    Mohammedyusuf HajeeNJRetina Specialist (Ophthalmology) Physician$2.6M$0
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$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. New Jersey Distribution
    Awani Kumar — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey