PRABHAT KUMAR, M.D.
Clinical Cardiac Electrophysiology Physician · SANFORD, NC
Individual Active NPI 1699072637
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,512 | 2,846 | $411,727 | $94,678 | $71,184 |
| 2023 | 1,137 | 1,977 | $404,994 | $97,190 | $72,866 |
| 2022 | 1,520 | 2,317 | $392,348 | $104,206 | $79,289 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,476 | $8 | $6 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 349 | $27 | $20 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 312 | $8 | $5 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 148 | $34 | $23 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 95 | $97 | $70 |
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 73 | $23 | $18 |
| 93297 | Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 55 | $23 | $17 |
| 93280 | Programming of dual lead pacemaker system | 50 | $45 | $32 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 33 | $82 | $59 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 33 | $11 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $146 | $105 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $124 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ✓ | 2021-00364 | NC |
| Cardiovascular Disease Physician | 207RC0000X | 18269 | ZZ | |
| Cardiovascular Disease Physician | 207RC0000X | 2021-00364 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Clinical Cardiac Electrophysiology Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.