Physician

Usharani M Kumar, M.D.

According to 2025 Medicare claims, Usharani Kumar, M.D. (NPI: 1275511974) practices rheumatology in the Davenport-Moline-Rock Island, IA-IL market, with the plurality of this provider's patient population coming from Rock Island, IL. This provider's primary affiliated billing organization is ARTHRITIS CARE CENTER PC (NPI: 1508974304; TIN: 204427888) and primary practice location at 61265-6146. Kumar is affiliated with the IRCCO (ACO ID: A2619), Genesis Accountable Care Organization, LLC. (ACO ID: A4799), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 310 traditional Medicare patients, billed 28,418 HCPCS/CPT codes, and received $483,185 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 4,140 prescription claims across 482 beneficiaries totaling $2,490,282 in drug costs, led by Humira(Cf) Pen (Adalimumab). No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,045,523 to $2,490,282. 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.

Year	Patients	Clm Lines	Payment
2015	580	36,828	$708,734
2016	408	34,129	$692,342
2017	416	36,741	$755,646
2018	396	37,933	$770,266
2019	369	35,722	$659,884
2020	310	37,584	$625,360
2021	289	38,718	$660,730
2022	242	37,280	$534,088
2023	308	37,931	$544,880
2024	310	28,418	$483,185

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	368	3,211	$1,045,523
2016	358	3,072	$1,128,546
2017	371	3,270	$1,197,150
2018	363	3,189	$973,242
2019	369	3,122	$711,810
2020	347	3,116	$692,376
2021	346	2,812	$743,224
2022	321	2,592	$745,538
2023	370	2,633	$996,896
2024	482	4,140	$2,490,282

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$110
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	451	$91
77085	Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment	60	60	$51
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	209	308	$13
36415	Insertion of needle into vein for collection of blood sample	73	235	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	137	4,088	$1,201,970
Rinvoq	Upadacitinib	39	1,170	$247,683
Enbrel Sureclick	Etanercept	21	824	$211,610
Xeljanz Xr	Tofacitinib Citrate	20	600	$121,145
Cimzia (2 Pack)	Certolizumab Pegol	19	532	$106,964

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Usharani M. Kumar, M.D.?

Tedicare shows public-source Medicare data for Usharani M. Kumar, M.D. (NPI 1275511974), 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 Usharani M. Kumar, M.D. have ACO affiliation data?

Usharani M. Kumar, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), Genesis Accountable Care Organization, LLC. (MSSP, ACO ID A4799), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Usharani M. Kumar, M.D.?

Usharani M. Kumar, M.D. is linked to ARTHRITIS CARE CENTER PC (billing NPI 1508974304) in the available physician profile data.

Does Usharani M. Kumar, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.