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

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

Sonia Kumar (NPI 1770548042)

Field	Value
Entity Type	Individual
Organization	Sonia Kumar
Address	6341 University Ave Ne
City	Fridley
State	MN
ZIP	55432
Taxonomy	Family Medicine Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$48K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 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…	180	$80	$14.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$130	$9.5K
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…	130	$50	$6.4K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	30	$100	$3.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	240	$10	$1.9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	30	$60	$1.7K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	10	$110	$1.4K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	90	$10	$1.2K
G0008	Administration of influenza virus vaccine	40	$30	$1.1K
0124A	N/A	20	$40	$840

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Sonia Kumar — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	337	540	60	$60	$16.1K
91320	615	690	30	$130	$11K
99214	1,644	10,100	70	$80	$8.1K
G0439	538	2,290	40	$120	$6.9K
83970	94	100	30	$40	$5.2K
90662	482	940	30	$70	$5K
99213	1,440	9,120	50	$50	$4K
90480	1,219	1,380	30	$40	$3.5K
82306	183	290	20	$30	$2.3K
G0008	865	2,300	30	$30	$2.2K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Carlson Center For Mental Health And Well-being	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Minimed Distribution Corp	MN	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Allina Health System	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.3M
Kci Usa, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$6.5M
Transformation House, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$5.9M
Swana Dental Delivery	MN	Dental Clinic/Center	$0	$5.1M
Total Medical Supply Co Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Fridley Public Schools	MN	Local Education Agency (LEA)	$0	$4.6M
David King	MN	Medical Oncology Physician	$1.3M	$0
Andrew Cozadd	MN	Physician Assistant	$874.6K	$0

Sonia Kumar — Billing Profile & Reimbursement Data

Sign up for Sonia Kumar — Billing Profile & Reimbursement Data policy alerts

Sonia Kumar — Billing Profile & Reimbursement Data

Sign up for Sonia Kumar — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References