Physician

Suhail Kumar, MD

According to 2025 Medicare claims, Suhail Kumar, MD (NPI: 1114104999) practices rheumatology in the Greenville-Anderson-Greer, SC market, with the plurality of this provider's patient population coming from Greenville, SC. This provider's primary affiliated billing organization is PIEDMONT ARTHRITIS CLINIC PA (NPI: 1124199773; TIN: 570702625) and primary practice location at 29601-3973. Kumar is affiliated with the Southeastern Health Partners (ACO ID: A3325) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,025 traditional Medicare patients, billed 359,454 HCPCS/CPT codes, and received $3,483,486 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 2,464 prescription claims across 572 beneficiaries totaling $2,715,414 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 181 records totaling $6,015. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $607,829 to $3,483,486. Similarly, Part D prescription costs have risen steadily, from $1,109,998 to $2,715,414. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.8M$3.5M2015 Medicare payment: $607,829 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $729,697 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $626,864 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $822,771 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $999,891 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,458,117 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,534,614 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,643,217 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,534,223 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,483,486 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201535524,118$607,829
201634628,771$729,697
201737828,564$626,864
201836552,918$822,771
201948665,516$999,891
2020575151,107$2,458,117
2021582167,940$2,534,614
2022790205,640$2,643,217
20231,038314,830$3,534,223
20241,025359,454$3,483,486

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.4M$2.7M2015 Drug cost: $1,109,998 (USD; Tot_Drug_Cst)2016 Drug cost: $1,464,736 (USD; Tot_Drug_Cst)2017 Drug cost: $1,742,323 (USD; Tot_Drug_Cst)2018 Drug cost: $1,976,418 (USD; Tot_Drug_Cst)2019 Drug cost: $2,087,970 (USD; Tot_Drug_Cst)2020 Drug cost: $1,834,724 (USD; Tot_Drug_Cst)2021 Drug cost: $2,032,615 (USD; Tot_Drug_Cst)2022 Drug cost: $2,158,663 (USD; Tot_Drug_Cst)2023 Drug cost: $2,433,958 (USD; Tot_Drug_Cst)2024 Drug cost: $2,715,414 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152721,487$1,109,998
20162831,705$1,464,736
20172951,720$1,742,323
20182991,858$1,976,418
20194602,220$2,087,970
20205603,289$1,834,724
20215543,198$2,032,615
20225202,636$2,158,663
20236812,978$2,433,958
20245722,464$2,715,414

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
96413Administration of chemotherapy into vein, 1 hour or less437933$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more395580$84
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle2901,116$51
G2211Visit 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's323398$12
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5051,020$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab621,848$533,381
Enbrel SureclickEtanercept30842$228,332
KevzaraSarilumab421,204$180,999
EnbrelEtanercept21756$180,583
Cosentyx Unoready PenSecukinumab24672$179,738

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.180$3,680Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.1$2,335Eli Lilly and Company
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Suhail Kumar, MD?

Tedicare shows public-source Medicare data for Suhail Kumar, MD (NPI 1114104999), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Suhail Kumar, MD have ACO affiliation data?

Suhail Kumar, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Suhail Kumar, MD?

Suhail Kumar, MD is linked to PIEDMONT ARTHRITIS CLINIC PA (billing NPI 1124199773) in the available physician profile data.

Does Suhail Kumar, MD have Open Payments data?

Suhail Kumar, MD has 181 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.