Physician

Vishesh Kumar, M.D.

According to 2025 Medicare claims, Vishesh Kumar, M.D. (NPI: 1376790758) practices cardiology in the Portland-Vancouver-Hillsboro, OR-WA market, with the plurality of this provider's patient population coming from Clark, WA. This provider's primary affiliated billing organization is THE VANCOUVER CLINIC INC PS (NPI: 1992759427; TIN: 910851599) and primary practice location at 98664-3299. Kumar is affiliated with the PSW ACO (ACO ID: A5323) and Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under both the MSSP and REACH models.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 345 traditional Medicare patients, billed 1,230 HCPCS/CPT codes, and received $191,843 in Medicare payments. The top billing code was 33361 (Replacement of aortic valve through the skin and femoral artery). Part D data shows 1,294 prescription claims across 290 beneficiaries totaling $216,643 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 28 records totaling $1,486. 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 sharply higher in recent years, from $3,208 to $191,843. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,499 to $216,643. 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	30	52	$3,208
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	73	228	$33,220
2021	219	808	$130,771
2022	278	950	$161,318
2023	352	1,136	$193,587
2024	345	1,230	$191,843

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	30	$1,499
2017	N/R	11	$1,625
2018	12	24	$650
2019	11	22	$407
2020	32	53	$8,754
2021	131	556	$93,618
2022	194	857	$121,290
2023	257	1,020	$178,277
2024	290	1,294	$216,643

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
33361	Replacement of aortic valve through the skin and femoral artery	79	79	$567
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	84	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	80	$92
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	106	128	$10
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	84	85	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	90	5,363	$102,337
Jardiance	Empagliflozin	30	1,543	$30,713
Brilinta	Ticagrelor	33	1,945	$28,592
Repatha Sureclick	Evolocumab	34	1,176	$22,706
Entresto	Sacubitril/Valsartan	12	860	$17,047

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	28	$1,486	Edwards Lifesciences Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

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

Tedicare shows public-source Medicare data for Vishesh Kumar, M.D. (NPI 1376790758), 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 Vishesh Kumar, M.D. have ACO affiliation data?

Vishesh Kumar, M.D. is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323) and Humana Direct Contracting Entity, Inc. (REACH, ACO ID D0203).

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

Vishesh Kumar, M.D. is linked to THE VANCOUVER CLINIC INC PS (billing NPI 1992759427) in the available physician profile data.

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

Vishesh Kumar, M.D. has 28 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.