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NPI 1588739502 · New York, NY · Otolaryngology Physician
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Vandana Kumra is a otolaryngology physician provider located in New York, New York. This profile covers 13 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Vandana Kumra |
| Address | 234 Central Park W |
| City | New York |
| State | NY |
| ZIP | 10024 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | November 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $121.9K |
| Medicaid | $4.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 400 | $80 | $30.4K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 160 | $180 | $28.2K |
| 99203 | The 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… | 150 | $100 | $14.8K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 290 | $40 | $11.4K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 130 | $70 | $9.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 150 | $50 | $7.5K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 150 | $30 | $4.8K |
| 92588 | The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural… | 150 | $30 | $4.5K |
| 69000 | The provider performs a simple incision and drainage an abscess, i.e., a collection of pus, or a hematoma, i.e., a mass of blood, in the external ear. He performs this procedure to relieve pain and… | 20 | $160 | $3.1K |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 150 | $20 | $2.8K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 31231 | 191 | 520 | 110 | $170 | $30.4K |
| 99213 | 3,420 | 31,440 | 80 | $70 | $12.1K |
| 31575 | 109 | 580 | 60 | $100 | $8.8K |
| 99204 | 10,320 | 14,170 | 30 | $130 | $6.6K |
| G0268 | 208 | 250 | 90 | $40 | $5.5K |
| 92557 | 277 | 690 | 110 | $30 | $5.2K |
| 99203 | 682 | 11,360 | 30 | $90 | $4.7K |
| 69210 | 112 | 860 | 60 | $30 | $4.6K |
| 99212 | 928 | 7,850 | 30 | $40 | $3.6K |
| 69000 | 1 | 10 | 20 | $160 | $3.1K |
Showing 1–10 of 13
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The 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… | 20 | $100 | $2.3K |
| 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 | $60 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 15,809 | 19,110 | 360 | $70 | $321K |
| 99203 | The 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… | 3,791 | 4,700 | 130 | $100 | $136.6K |
Other providers in the same ZIP code as Vandana Kumra, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Metropolitan Center For Mental Health, Inc. | NY | Group Psychotherapy Psychologist | $0 | $27.5M |
| Mark Hornfeld | NY | Ophthalmology Physician | $189.9K | $965.1K |
| Richard Silvergleid | NY | Neuroradiology Physician | $639.2K | $58.2K |
| Viktoriya Fridman | NY | Adult Health Nurse Practitioner | $505.9K | $17.2K |
| Cvs Albany LLC | NY | Pharmacy | $331K | $0 |
| Peak Woo | NY | Otolaryngology Physician | $178.5K | $0 |
| Cvs Albany LLC | NY | Pharmacy | $158.9K | $0 |
| Karl Goodman | NY | Internal Medicine Physician | $146.1K | $1 |
| Duane Reade | NY | Pharmacy | $138.4K | $6.6K |
| Duane Reade | NY | Pharmacy | $133.3K | $0 |
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