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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Andrea Kumar (NPI 1548223027)

Field	Value
Entity Type	Individual
Organization	Andrea Kumar
Address	1225 Harding Pl
City	Charlotte
State	NC
ZIP	28204
Taxonomy	Neurology Physician
NPI Enumerated	April 7, 2006

Payer Source	Total Paid
Medicare	$71.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	330	$90	$29.1K
99215	The 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…	220	$120	$27K
99205	The provider sees a new 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 provider…	80	$160	$12.1K
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…	30	$50	$1.6K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	30	$40	$980
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	20	$30	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Andrea Kumar — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,174	18,060	110	$80	$15.1K
93886	9	10	40	$140	$14.6K
99215	331	5,720	40	$110	$7.7K
99213	11,874	16,320	70	$50	$7.1K
99205	169	2,290	20	$140	$4.9K
G2212	159	220	40	$20	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Medical Center	NC	General Acute Care Hospital	$0	$178.2M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
Carolinas Physicians Network Inc	NC	Psychologist	$0	$29.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Carolinas Medical Center	NC	Pediatrics Physician	$0	$17.8M
Carolinas Medical Center	NC	Ambulance	$0	$17M
Carolinas Medical Center	NC	General Practice Physician	$0	$16.6M
Carolinas Medical Center	NC	Child & Adolescent Psychiatry Physician	$0	$16.6M
Carolinas Medical Center	NC	Obstetrics & Gynecology Physician	$0	$11.8M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Presbyterian Hospital	NC	General Acute Care Hospital	$0	$33.5M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$27.9M
Carolina Asthma And Allergy Center PA	NC	Allergy & Immunology Physician	$0	$18.8M
Carolina Medicorp Enterprises, LLC	NC	Urgent Care Clinic/Center	$0	$13.3M
Hazem El-gamal	NC	MOHS-Micrographic Surgery Physician	$1M	$0
Noelle Williams	NC	Radiation Oncology Physician	$713K	$0
Jahan Mohiuddin	NC	Radiation Oncology Physician	$566.7K	$0
Marc Carruth	NC	MOHS-Micrographic Surgery Physician	$499.3K	$0
Joanna Young	NC	Internal Medicine Physician	$459.9K	$0
John Norris	NC	Allergy & Immunology Physician	$379.7K	$0

Andrea Kumar — Billing Profile & Reimbursement Data

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Andrea 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