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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRahul Kumar
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    Rahul Kumar — Billing Profile & Reimbursement Data

    NPI 1912074964 · Neptune, NJ · Clinical Cardiac Electrophysiology Physician

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    Rahul Kumar is a clinical cardiac electrophysiology physician provider located in Neptune, New Jersey. This profile covers 19 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
    OrganizationRahul Kumar
    Address1820 State Route 33 Ste 4b
    CityNeptune
    StateNJ
    ZIP07753
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedNovember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$132.3K
    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.

    19 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…370$100$35.4K
    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…330$60$21K
    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$16.2K
    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…110$110$12.1K
    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…90$100$8.8K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…150$60$8.7K
    93290The provider performs a face–to–face evaluation and optimally adjusts the existing parameters of an already implanted cardiovascular physiologic monitoring system, reviews the results, and prepares a…140$40$5.1K
    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…30$130$4.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…350$10$3.8K
    93283The provider evaluates and adjusts the parameters, or settings, of various operating functions of a previously implanted dual lead transvenous implantable cardioverter defibrillator system, a device…50$70$3.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306505990220$100$25.8K
    992142,70313,640130$90$23.6K
    7845246665060$240$19.9K
    992329126,220120$70$18.4K
    992131,39814,090100$70$13.1K
    992222144,37040$110$6.7K
    992043,9427,16040$130$6.5K
    932805421050$60$5.8K
    9301517341070$50$5.2K
    992033,8735,66040$80$4.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barry ShapiroNJCardiovascular Disease Physician$2.2M$0
    NPI 1003869488——$1.9M$0
    Steven DatorreNJClinical Cardiac Electrophysiology Physician$1.4M$0
    James OrlandoNJCardiovascular Disease Physician$1.2M$0
    Ravi DiwanNJCardiovascular Disease Physician$1.2M$0
    Deborah SambucciNJCardiovascular Disease Physician$1.2M$0
    Maurice WeissNJCardiovascular Disease Physician$1.1M$0
    Ronald CohenNJCardiovascular Disease Physician$1.1M$0
    Steven CohnNJCardiovascular Disease Physician$1.1M$0
    Ihab GirgisNJClinical Cardiac Electrophysiology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$128.2M
    Children's Center Programs, LLCNJDevelopmentally Disabled Services Day Training Agency$0$44.6M
    Nj Certified Dermatology PCNJDermatology Physician$0$14.9M
    Coastal Ear Nose And Throat, LLCNJOtolaryngology Physician$0$13.3M
    Preferred Home Healthcare & Nursing Services, Inc.NJHome Health Agency$0$13M
    Jsas Healthcare, Inc.NJMethadone Clinic$480K$12.3M
    Neptune Adult Day Health Center, Inc.NJAdult Day Care Clinic/Center$0$12.5M
    Meridian Hospitals CorporationNJGeneral Acute Care Hospital$0$11.8M
    Morning Glory Behavioral Health Partial Care Program LLCNJAdult Mental Health Clinic/Center$0$10M
    Alternative Counseling Method LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.9M

    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. New Jersey Distribution
    Rahul Kumar — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey