Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJena Kumar
    Ask Trek AI about this page

    Jena Kumar — Billing Profile & Reimbursement Data

    NPI 1942662143 · Rapid City, SD · Diagnostic Radiology Physician

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jena Kumar is a diagnostic radiology physician provider located in Rapid City, South Dakota. This profile covers 72 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJena Kumar
    Address2929 5th St
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMarch 25, 2016

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

    Payer SourceTotal Paid
    Medicare$327.1K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is small-to-midsize in absolute terms, reporting Total Medicare revenue of $327.1K and no Medicaid billing on file; the practice is effectively single-payer (Medicare) in this dataset. The NPI was enumerated on 2016-03-25 (~10 years ago), indicating roughly a decade of billing history under this identifier.

    Revenue is highly concentrated in a few breast- and oncology-related procedures: the precomputed top three Medicare codes account for 59.3% of this provider's total Medicare revenue, led by 77067 ($90.4K, 30.3%), followed by 77063 ($44.1K, 14.8%) and 78815 ($42.7K, 14.3%). This concentration implies that a majority of Medicare dollars flow from routine and tomosynthesis mammography plus PET/CT imaging rather than a broad, evenly distributed mix of services.

    The code mix indicates a clinical focus on breast imaging with supplemental oncology and cross-sectional services. High-revenue mammography codes (77067 and 77063) dominate the revenue profile while 78815 (PET/CT) supplies a substantial oncology imaging component; other entries such as 77049 ($20.9K, 7.0%), 77065 ($7.8K, 2.6%), and biopsy code 19083 ($4.2K, 1.4%) support an integrated diagnostic breast service line.

    On competitive standing, the provider posts relatively strong national volumes for screening and diagnostic mammography: 77067 ranks #1244 of 15198 providers nationally (92th percentile) and 77063 ranks #1140 of 14277 providers nationally (92th percentile), which places the practice well above typical volume for those mammography services. By contrast, PET/CT work (78815, 35 claims, $1221 avg paid/claim, $42.7K revenue) ranks #4376 of 6566 providers nationally (32th percentile), indicating only modest national presence in advanced oncology imaging.

    Service breadth extends beyond breast and PET/CT into routine cross-sectional and ultrasound imaging: notable entries include 74177 (207 claims, $77 avg paid/claim, $15.9K revenue), 71275 (99 claims, $64 avg paid/claim, $6.3K revenue), 70450 (193 claims, $30 avg paid/claim, $5.8K revenue), and DXA 77080 (142 claims, $37 avg paid/claim, $5.3K revenue). These mid-level CT, CT-angiography, head CT, ultrasound, and bone density codes suggest the provider operates as a general diagnostic radiology practice with a strong specialization in breast imaging.

    Claim-level mix shows high-volume, low-revenue radiography alongside higher-reimbursement advanced imaging: for example, 71045 reported 664 claims at $6 avg paid/claim ($4K revenue) and 71046 reported 350 claims at $8 avg paid/claim ($2.8K revenue), while a single PET/CT claim averages $1221. This pattern is consistent with a practice that performs many routine film/digital radiographs while deriving most revenue from specialized breast and cross-sectional studies.

    A few code-level rank/percentile notes underscore uneven participation across services: 77049 (breast MRI) ranks #238 of 3140 providers nationally (92th percentile), reflecting relatively strong MRI volume for breast work, while ultrasound-guided biopsy 19083 ranks #3198 of 3438 providers nationally (0th percentile; typical, unremarkable volume for this code), indicating very low relative activity in that specific interventional breast procedure. Taken together, these percentiles portray a provider who is a notable contributor to mammography and breast MRI nationally but a modest participant in PET/CT and some interventional breast services.

    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.

    72 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…1,100$80$90.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,100$40$44.1K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…40$1,220$42.7K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…80$280$20.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.210$80$15.9K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries40$280$10.7K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…90$90$7.8K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…100$60$6.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.190$30$5.8K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…140$40$5.3K

    Showing 1–10 of 72

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 72 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    72 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815152060$420$40.9K
    A955271070$280$22.5K
    77067412070$50$13.1K
    74177208090$70$10K
    93925263050$90$7.7K
    77063411070$30$7.5K
    704502370150$30$5.2K
    71275166070$60$5.1K
    7704911020$170$4.4K
    70551283050$60$4.3K

    Showing 1–10 of 72

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regents Of The University Of CaliforniaCAGeneral Acute Care Hospital$0$177.5M
    Loma Linda University Medical Center-murrietaCAGeneral Acute Care Hospital$0$70.8M
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Artur HenkeCADermatology Physician$5.5M$0
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Craig FernNYSpecialist$4.1M$276.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M
    City Of Rapid CitySDAmbulance$1.4M$3.7M

    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 Dakota Distribution
    Jena Kumar — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota