Physician

Ajay Kumar, MD

According to 2025 Medicare claims, Ajay Kumar, MD (NPI: 1376831859) practices hematology/oncology in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Chester, PA. This provider's primary affiliated billing organization is MAIN LINE HEALTHCARE (NPI: 1922077643; TIN: 232359401) and primary practice location at 19301-1620. Kumar is affiliated with the Delaware Valley ACO (ACO ID: A2024) and Penn Medicine Healthcare Partners, LLC (ACO ID: A5318), participating under the MSSP model.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 353 traditional Medicare patients, billed 4,845 HCPCS/CPT codes, and received $214,475 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 712 prescription claims across 135 beneficiaries totaling $2,022,919 in drug costs, led by Jakafi (Ruxolitinib Phosphate). DME data shows 127 claims. Open Payments data shows 44 records totaling $1,042. 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 $5,019 to $214,475. Similarly, Part D prescription costs have risen steadily, from $7,126 to $2,022,919. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $3,199 to $7,798.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	50	88	$5,019
2018	243	942	$58,404
2019	275	1,143	$69,676
2020	288	1,134	$73,776
2021	447	20,115	$260,269
2022	554	136,092	$1,198,077
2023	335	13,429	$236,170
2024	353	4,845	$214,475

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	40	118	$7,126
2016	40	157	$7,563
2017	40	87	$22,825
2018	135	725	$461,716
2019	169	790	$884,319
2020	183	1,008	$1,622,386
2021	238	1,010	$1,815,168
2022	65	255	$436,005
2023	105	328	$752,385
2024	135	712	$2,022,919

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
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	N/R	22	$3,186
2021	N/R	12	$208
2022	N/R	38	$878
2023	N/R	33	$823
2024	N/R	127	$7,433

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	154	$149
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	58	$140
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	319	$100
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	85	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	97	127	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jakafi	Ruxolitinib Phosphate	24	840	$425,317
Revlimid	Lenalidomide	14	357	$229,373
Imbruvica	Ibrutinib	13	364	$213,791
Lenalidomide	Lenalidomide	13	315	$132,264
Eliquis	Apixaban	27	1,987	$36,676

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0781	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient	Y	N/R	18	$3,554
A4419	Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each	N	N/R	13	$1,406
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	N	N/R	32	$1,164
J9190	Injection, fluorouracil, 500 mg	N	N/R	32	$696
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	N	N/R	32	$614

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	44	$1,042	Tempus AI, Inc
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 Ajay Kumar, MD?

Tedicare shows public-source Medicare data for Ajay Kumar, MD (NPI 1376831859), 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 Ajay Kumar, MD have ACO affiliation data?

Ajay Kumar, MD is shown with ACO affiliation data for Delaware Valley ACO (MSSP, ACO ID A2024) and Penn Medicine Healthcare Partners, LLC (MSSP, ACO ID A5318).

What billing organization is linked to Ajay Kumar, MD?

Ajay Kumar, MD is linked to MAIN LINE HEALTHCARE (billing NPI 1922077643) in the available physician profile data.

Does Ajay Kumar, MD have Open Payments data?

Ajay Kumar, MD has 44 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.