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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNitin Kumar
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    Nitin Kumar — Billing Profile & Reimbursement Data

    NPI 1851435291 · Detroit, MI · Ophthalmology Physician

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    Nitin Kumar is a ophthalmology physician provider located in Detroit, Michigan. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNitin Kumar
    Address2799 W Grand Blvd
    CityDetroit
    StateMI
    ZIP48202
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 19, 2007

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

    Payer SourceTotal Paid
    Medicare$119.6K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.610$70$45K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…530$50$26.9K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,220$20$21.9K
    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…180$70$13K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…400$10$4K
    67228In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…20$230$3.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$50$2K
    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…10$90$1.2K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…40$30$880
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…60$10$770

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6702864160440$90$57.6K
    92014931,080100$80$14.8K
    992143,92815,47080$80$11.4K
    922355310040$100$7.8K
    921345482060$30$7.1K
    67228233030$250$6.7K
    992045,4186,28030$110$4.2K
    9200427469030$90$4.2K
    9225034475050$20$2.6K
    922016611040$20$2.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Health SystemMIGeneral Acute Care Hospital$0$335M
    Henry Ford Macomb Hospital CorporationMIGeneral Acute Care Hospital$0$40.9M
    Henry Ford Health SystemMIEmergency Medicine Physician$0$30.4M
    Henry Ford Health SystemMIPediatrics Physician$0$25.7M
    Henry Ford Health SystemMIInternal Medicine Physician$0$24.4M
    Henry Ford Health SystemMIDiagnostic Radiology Physician$0$23M
    Henry Ford Health SystemMIGeneral Acute Care Hospital$0$19.3M
    Henry Ford Health SystemMIObstetrics & Gynecology Physician$0$17M
    Henr Y Ford Health SystemMIFamily Medicine Physician$0$11.8M
    Henry Ford Health SystemMIPhysician Assistant$0$10.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Addus Healthcare, Inc.MIIn Home Supportive Care Agency$0$18.5M
    The Wellness Plan Medical CentersMIClinic/Center$0$17.5M
    Detroit Wayne Mental Health AuthorityMICommunity/Behavioral Health Agency$0$13.1M
    Henry Ford Health SystemMINurse Practitioner$0$9.6M
    Packard Group IncMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.8M
    Henry Ford PathologyMIAnatomic Pathology & Clinical Pathology Physician$0$6.9M
    Henr Y Ford Health SystemMIAdvanced Practice Midwife$0$6.3M
    Henry Ford Health SystemMINeurology Physician$0$5.9M
    Henry Ford Health SystemMIPsychiatry Physician$0$5.6M
    Black Family Development, Inc.MICommunity/Behavioral Health Agency$0$5.6M

    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. Michigan Distribution
    Nitin Kumar — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan