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    OpenPayerNPI Medicare & MedicaidAjitkumar Kemkar
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    Ajitkumar Kemkar — Billing Profile & Reimbursement Data

    NPI 1679505168 · Cleveland, TN · Internal Medicine Physician

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    Ajitkumar Kemkar is a internal medicine physician provider located in Cleveland, Tennessee. This profile covers 26 Medicare and 54 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAjitkumar Kemkar
    Address2625 Executive Park Nw
    CityCleveland
    StateTN
    ZIP37312
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$449.8K
    Medicare$44.3K

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…250$80$19.9K
    99442N/A100$60$5.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$120$3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…130$20$2.1K
    99441N/A50$40$2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.130$10$1.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…130$10$1K
    83036Sugar 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$660
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.110$10$530

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,31311,370120$80$16.6K
    G04392,1052,65070$110$11.2K
    800531,4071,600160$10$4.3K
    800616671,310140$10$4.1K
    844435181,37090$20$3.8K
    364151,4863,310120$10$3.2K
    850258751,870120$10$2.7K
    G00083,1193,23050$30$2.1K
    994422126020$50$1.9K
    830368731,56080$10$1.8K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10,790$30$291.4K
    99442N/A1,620$20$35.6K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3,010$10$15.1K
    84295The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood.3,030$1$9.1K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.4,530$1$9.1K
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…3,010$1$9K
    84155The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…3,010$1$9K
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.3,010$1$9K
    84132The lab analyst measures the amount of potassium in a patient specimen, typically blood, which the analyst collects using routine vein puncture.3,010$1$9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,380$1$6.8K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3013,760610$40$202.3K
    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…2,5844,050620$30$183.9K
    99204The provider sees a new 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 provider…8631,080120$80$90.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2532603,040$1$60K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2025501,210$1$50.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…47150490$10$39.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.60220320$1$35K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…208400310$10$27.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…4411,270470$10$19.2K
    83037The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…830270$10$17.3K

    Showing 1–10 of 54

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Staffco Of Eastern Tennessee, LLC.TNHome Health Agency$0$9.6M
    Urgent Care Centers Of East Tennessee, P.C.TNInternal Medicine Physician$0$7.7M
    Ocoee Pediatrics Of Cleveland, PCTNFamily Nurse Practitioner$0$6.1M
    County Of Bradley County FundTNLand Ambulance$1M$3.9M
    Eagle Home Care, L.L.C.TNIn Home Supportive Care Agency$0$4.3M
    Silver Angels Of Tennessee - Bradley, LLCTNIn Home Supportive Care Agency$0$3.4M
    Optimal Behavioral, LLCTNCommunity/Behavioral Health Agency$0$2.5M
    Voytik Center For Orthopedic Care, PCTNOrthopaedic Surgery Physician$0$2.5M
    Robbins Family Dental PLLCTNDentist$0$2.2M
    Can Do Kids Pediatric Therapy Services, LLCTNPediatric Occupational Therapist$0$2.1M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Ajitkumar Kemkar — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Ajitkumar Kemkar — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee