BIRESH KUMAR, MD
Nephrology Physician · WACO, TX
Individual Active NPI 1558341909
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 546 | 1,720 | $314,160 | $174,708 | $127,734 |
| 2023 | 555 | 1,562 | $371,220 | $232,632 | $172,642 |
| 2022 | 578 | 1,652 | $399,595 | $245,744 | $181,666 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 372 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 279 | $93 | $53 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 174 | $76 | $49 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 166 | $75 | $59 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 149 | $335 | $267 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 126 | $9 | $6 |
| 90935 | Hemodialysis procedure with physician evaluation | 95 | $67 | $53 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 93 | $113 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | $165 | $121 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 51 | $124 | $94 |
| 90966 | Home dialysis services per month (20 years or older) | 40 | $278 | $204 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $157 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | N5169 | TX |
| Hospitalist Physician | 208M00000X | 4301065642 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.