Physician

Kumar Sambhav, MD

According to 2025 Medicare claims, Kumar Sambhav, MD (NPI: 1790216729) practices ophthalmology in the Morgantown, WV market, with the plurality of this provider's patient population coming from Preston, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 26507-0897. Sambhav is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Sambhav's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 97 traditional Medicare patients, billed 267 HCPCS/CPT codes, and received $22,163 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 244 prescription claims across 97 beneficiaries totaling $8,455 in drug costs, led by Alphagan P (Brimonidine Tartrate). Open Payments data shows 3 records totaling $192. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $664 to $8,455. 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$11K$22K2024 Medicare payment: $22,163 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
202497267$22,163

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$4.2K$8.5K2017 Drug cost: $664 (USD; Tot_Drug_Cst)2018 Drug cost: $1,808 (USD; Tot_Drug_Cst)2020 Drug cost: $3,687 (USD; Tot_Drug_Cst)2021 Drug cost: $4,317 (USD; Tot_Drug_Cst)2022 Drug cost: $2,672 (USD; Tot_Drug_Cst)2023 Drug cost: $6,978 (USD; Tot_Drug_Cst)2024 Drug cost: $8,455 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R14$664
20181930$1,808
2019N/RN/RN/R
20201241$3,687
20211331$4,317
20222658$2,672
202356124$6,978
202497244$8,455

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2828$102
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4452$74
67028Injection of drug into eye1628$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1313$48
92134Imaging of retina7599$18

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Alphagan PBrimonidine Tartrate14434$2,724
Prednisolone AcetatePrednisolone Acetate541,408$2,294
Brimonidine TartrateBrimonidine Tartrate231,231$908
Atropine SulfateAtropine Sulfate12424$752
OfloxacinOfloxacin39625$461

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.3$192Dutch Ophthalmic, USA
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Kumar Sambhav, MD?

Tedicare shows public-source Medicare data for Kumar Sambhav, MD (NPI 1790216729), 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 Kumar Sambhav, MD have ACO affiliation data?

Kumar Sambhav, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Kumar Sambhav, MD?

Kumar Sambhav, MD is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Kumar Sambhav, MD have Open Payments data?

Kumar Sambhav, MD has 3 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.