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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShekar Kumar
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    Shekar Kumar — Billing Profile & Reimbursement Data

    NPI 1811978661 · Greenwood, SC · Cardiovascular Disease Physician

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    Shekar Kumar is a cardiovascular disease physician provider located in Greenwood, South Carolina. This profile covers 38 Medicare and 1 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
    OrganizationShekar Kumar
    Address421 Epting Ave
    CityGreenwood
    StateSC
    ZIP29646
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedNovember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$231K
    Medicaid$140

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…320$120$37K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…580$50$31.5K
    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…310$100$29K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$390$17.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$60$15.5K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$570$14.7K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…80$180$14.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,640$10$9.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$7.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…120$50$6.4K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452118290110$200$25.8K
    9330674450230$80$23.9K
    992142,4827,860160$80$23.2K
    33361385040$560$22K
    929282010030$380$13K
    992326282,78090$60$12K
    992135,6177,690100$60$10.8K
    934583016050$180$9.9K
    99215962,36040$120$9.3K
    992231,4032,08040$130$8.3K

    Showing 1–10 of 38

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.20$10$130

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.126160160$1$21.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Self Regional HealthcareSCGeneral Acute Care Hospital$0$58.8M
    Self Medical GroupSCEmergency Medicine Physician$0$6M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    St Francis Physician Services IncSCFamily Medicine Physician$0$3.3M
    Self Medical GroupSCPediatrics Physician$0$3.3M
    Self Medical GroupSCUrgent Care Clinic/Center$0$2.6M
    Self Regional HealthcareSCFamily Medicine Physician$0$2.3M
    Self Medical GroupSCUrgent Care Clinic/Center$0$2.2M
    Kalpesh PurohitSCFamily Medicine Physician$2.1M$0
    Kenneth SpearmanCAVascular & Interventional Radiology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenwood Genetic Center LabSCClinical Medical Laboratory$0$31.2M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Carolina Health Centers, Inc.SCPediatrics Physician$0$20.2M
    Carolina Health Centers, Inc.SCFederally Qualified Health Center (FQHC)$0$3.3M
    Greenwood Treatment SpecialistsSCMethadone Clinic$75.9K$3.2M
    Greenwood County EmsSCAmbulance$905.9K$2.2M
    Taylor MaderSCRheumatology Physician$3.1M$0
    Greenwood Obstetrics & Gynecology PASCObstetrics & Gynecology Physician$0$2.7M
    Health Related Personnel Services, Inc.SCPhysical Disabilities Residential Treatment Facility$0$2.6M
    Greenwood School District 50SCLocal Education Agency (LEA)$0$2.3M

    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. South Carolina Distribution
    Shekar Kumar — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Shekar Kumar — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina