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    OpenPayerNPI Medicare & MedicaidAlisha Kumar
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    Alisha Kumar — Billing Profile & Reimbursement Data

    NPI 1902148745 · Cincinnati, OH · Ophthalmology Physician

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    Alisha Kumar is a ophthalmology physician provider located in Cincinnati, Ohio. This profile covers 17 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
    OrganizationAlisha Kumar
    Address3310 Mercy Health Blvd # 200
    CityCincinnati
    StateOH
    ZIP45211
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 19, 2013

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

    Payer SourceTotal Paid
    Medicare$259.8K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…200$350$70.8K
    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…550$60$34.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.50$620$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…380$80$30.3K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…260$40$11.4K
    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…130$80$11.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$220$11K
    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…100$100$10.1K
    66180The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…10$850$9.4K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.50$170$9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984270530210$110$92.8K
    65820104040$850$33.3K
    6698213515030$470$24.9K
    66180152020$1,210$23K
    6682116036050$180$15.8K
    920145471,390100$70$12.9K
    992142,02920,010100$70$11.7K
    9921355520,00070$50$6.6K
    6676163030$160$6.4K
    921349681,01050$30$6.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M
    James OsherOHOphthalmology Physician$3.7M$0
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0
    Hang PhamOHOphthalmology Physician$2.6M$0
    Ahmed AlkalibyFLOphthalmology Physician$2.6M$0
    Cei Physicians Psc LLCOHAmbulatory Surgical Clinic/Center$1.9M$680.3K
    Philip NelsenOHRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health - West Hospital LLCOHGeneral Acute Care Hospital$0$45.7M
    Emergency Medicine Physicians Of Cincinnati, Ltd.OHEmergency Medicine Physician$0$28.2M
    Kurt LeuenbergerOHHematology & Oncology Physician$1.7M$0
    Matthew BertkeOHRadiation Oncology Physician$879.5K$0
    Suzanne PartridgeOHHematology & Oncology Physician$704.8K$0
    Joseph ShaughnessyOHRadiation Oncology Physician$611.6K$0
    Eric KuhnOHUrology Physician$290.9K$0
    Bradley KingOHOrthopaedic Surgery Physician$176.9K$0
    Sameh ArebiOHOrthopaedic Foot and Ankle Surgery Physician$173.7K$0
    Steven KleemanOHUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$156.4K$0

    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. Ohio Distribution
    Alisha Kumar — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio