Physician

Ajay Kumar, MD

According to 2025 Medicare claims, Ajay Kumar, MD (NPI: 1851777577) practices internal medicine in the Louisville/Jefferson County, KY-IN market, with the plurality of this provider's patient population coming from Floyd, IN. This provider's primary affiliated billing organization is BAPTIST HEALTH MEDICAL GROUP INC (NPI: 1780961300; TIN: 205497203) and primary practice location at 47150-4921. Kumar is affiliated with the Baptist Health Care Partners, LLC (ACO ID: A2975) and Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), participating under the MSSP model.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 509 traditional Medicare patients, billed 13,271 HCPCS/CPT codes, and received $226,409 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 3,440 prescription claims across 457 beneficiaries totaling $1,378,030 in drug costs, led by Jardiance (Empagliflozin). DME data shows 298 claims. Open Payments data shows 51 records totaling $1,120. 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 $17,112 to $226,409. Similarly, Part D prescription costs have moved sharply higher in recent years, from $4,202 to $1,378,030. For DME billing, reported payments moved sharply higher in recent years, from $4,344 to $98,500.

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	N/R	N/R	N/R
2018	82	371	$17,112
2019	125	637	$30,670
2020	297	1,026	$55,537
2021	266	585	$33,971
2022	96	157	$11,834
2023	316	3,415	$78,637
2024	509	13,271	$226,409

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	28	95	$4,202
2016	66	358	$29,959
2017	83	579	$55,175
2018	137	1,217	$80,956
2019	141	2,350	$257,840
2020	309	3,834	$289,423
2021	291	3,186	$252,049
2022	59	143	$28,607
2023	185	646	$277,864
2024	457	3,440	$1,378,030

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	32	$1,309
2020	N/R	14	$833
2021	N/R	39	$1,040
2022	N/R	22	$913
2023	26	62	$12,232
2024	122	298	$98,457

* / # = 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	168	168	$102
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	122	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	421	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	237	$55
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	158	185	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	323	16,631	$320,917
Ozempic	Semaglutide	251	10,378	$317,140
Januvia	Sitagliptin Phosphate	141	7,191	$128,299
Trulicity	Dulaglutide	65	2,494	$78,683
Mounjaro	Tirzepatide	56	2,072	$76,947

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	59	202	$91,257
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	35	35	$6,711
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	16	30	$414
E0570	Nebulizer, with compressor	Y	N/R	12	$48
A4259	Lancets, per box of 100	N	12	19	$27

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$1,120	Insulet 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 Ajay Kumar, MD?

Tedicare shows public-source Medicare data for Ajay Kumar, MD (NPI 1851777577), 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 Baptist Health Care Partners, LLC (MSSP, ACO ID A2975) and Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220).

What billing organization is linked to Ajay Kumar, MD?

Ajay Kumar, MD is linked to BAPTIST HEALTH MEDICAL GROUP INC (billing NPI 1780961300) in the available physician profile data.

Does Ajay Kumar, MD have Open Payments data?

Ajay Kumar, MD has 51 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.