Physician

Ajay Kumar, M.D.

According to 2025 Medicare claims, Ajay Kumar, M.D. (NPI: 1871545111) practices physical medicine and rehabilitation, with the plurality of this provider's patient population coming from Pike, PA. This provider's primary affiliated billing organization is PAIN AND NEUROPATHY CENTER OF PA PC (NPI: 1023361946) and primary practice location at 18336-1541.

Kumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 320 traditional Medicare patients, billed 11,382 HCPCS/CPT codes, and received $184,242 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 1,880 prescription claims across 242 beneficiaries totaling $92,758 in drug costs, led by Duloxetine Hcl (Duloxetine Hcl). 2017 DME data shows 12 claims. Open Payments data shows 23 records totaling $1,127. 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 declined steadily, from $324,012 to $184,242. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $285,227 to $92,758. 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	439	6,914	$324,012
2016	448	6,466	$334,145
2017	468	6,825	$341,067
2018	471	5,642	$318,108
2019	430	7,750	$323,080
2020	294	6,586	$213,649
2021	323	6,220	$237,440
2022	311	3,923	$223,083
2023	338	2,656	$203,642
2024	320	11,382	$184,242

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	270	3,749	$285,227
2016	271	4,082	$276,293
2017	253	3,847	$241,729
2018	267	3,219	$196,952
2019	238	2,793	$147,940
2020	196	2,392	$103,858
2021	220	2,203	$97,685
2022	222	2,013	$64,998
2023	239	1,718	$30,821
2024	242	1,880	$92,758

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	23	$406
2016	32	41	$9,045
2017	N/R	12	$65
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	127	$88
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	54	89	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	213	773	$70
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	171	$43
J1010	Injection, methylprednisolone acetate, 1 mg	107	9,002	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Duloxetine Hcl	Duloxetine Hcl	346	13,127	$5,667
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	267	6,449	$3,843
Celecoxib	Celecoxib	122	3,910	$2,680
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	192	5,138	$2,557
Gabapentin	Gabapentin	208	7,613	$1,933

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.	23	$1,127	Pacira Pharmaceuticals Incorporated
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, M.D.?

Tedicare shows public-source Medicare data for Ajay Kumar, M.D. (NPI 1871545111), 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, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

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

Ajay Kumar, M.D. is linked to PAIN AND NEUROPATHY CENTER OF PA PC (billing NPI 1023361946) in the available physician profile data.

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

Ajay Kumar, M.D. has 23 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.