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

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

Nirmala Kumar (NPI 1619059144)

Field	Value
Entity Type	Individual
Organization	Nirmala Kumar
Address	1055 Clermont St
City	Denver
State	CO
ZIP	80220
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicare	$29K
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
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…	90	$120	$10.8K
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…	120	$90	$10.2K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	120	$40	$4.6K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	90	$30	$2.4K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	70	$10	$730
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	110	$1	$340

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. Colorado Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,181	8,160	80	$80	$11.3K
99215	768	3,230	40	$110	$8.1K
G0108	3	10	70	$40	$3.3K
95251	36	80	80	$30	$2.5K
83036	137	650	30	$10	$1.7K
82962	6	40	40	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tera Sabatino	CO	Family Nurse Practitioner	$805.8K	$0
Kirk Kindsfater	CO	Adult Reconstructive Orthopaedic Surgery Physician	$731K	$0
Mark Howshar	WY	Body Imaging Physician	$478.7K	$0
Banner Health Physicians West LLC	WY	Multi-Specialty Clinic/Center	$0	$368.9K
William Howarth	CO	Orthopaedic Surgery Physician	$296.3K	$0
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0
Anthony Barber	CO	Sleep Medicine (Psychiatry & Neurology) Physician	$262.7K	$0
Ori Hampel	TX	Urology Physician	$212.7K	$0
Joshua Beckman	CO	Neurological Surgery Physician	$187K	$0
Shane Rowan	CO	Clinical Cardiac Electrophysiology Physician	$186.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$10.9M
Blue Spruce Home Care Inc.	CO	Homemaker	$0	$8.9M
Mental Health Center Of Denver	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.9M
Blue Spruce Home Care Inc.	CO	In Home Supportive Care Agency	$0	$5.7M
Senior Housing Options, Inc.	CO	Assisted Living Facility	$0	$4.5M
Bending Birch Behavioral Services, LLC	CO	Behavior Analyst	$0	$4.1M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$3.5M
Rose Ambulatory Surgery Center LP	CO	Ambulatory Surgical Clinic/Center	$1.4M	$538.2K
Karen Sundby	CO	MOHS-Micrographic Surgery Physician	$1.1M	$0
Mabel Mardones	CO	Hematology & Oncology Physician	$866K	$0

Nirmala 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