What is Nilay Kumar's specialty?

Nilay Kumar (NPI 1427123702) is a Medicare-billing provider whose primary specialty is Gastroenterology in Milwaukee, WI.

Where does Nilay Kumar practice?

Nilay Kumar practices in Milwaukee, WI, based on the location reported in the CMS Medicare provider datasets for NPI 1427123702.

How much does Medicare pay Nilay Kumar?

Nilay Kumar (NPI 1427123702) received approximately $119K in total Medicare Part B payments, serving 464 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1427123702

Nilay KumarM.D., M.P.H

GastroenterologyMilwaukee, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

877

Unique beneficiaries

—

Total services

1,163

Distinct HCPCS

Medicare payment

$105K

Peer benchmark

Total Medicare services vs. 249 Gastroenterology providers in WI — top quintile (cohort median 484).

PRESCRIBING · PART D · 2024

Total Rx claims

1,054

Beneficiaries

—

Total drug cost

$46K

Distinct drugs

Brand share

49.6%

Top prescribed drugs

Pantoprazole Sodium312 claims

Sodium Chloride/Nahco3/Kcl/Peg256 claims

Sodium, Potassium,mag Sulfates227 claims

Omeprazole118 claims

Famotidine22 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$143

Payment records

By payment type

Food and Beverage$143

Top paying entities

Food and Beverage$143

REFERRAL NETWORK

Where Nilay Kumar's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 14 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST JOSEPH'S HOSPITAL OF MARSHFIELD, INC	87	233
ROKEY, ROXANN	22	59
Mark Hinson Diagnostic Radiology · Marshfield, WI	19	35
Aaron Dagit Diagnostic Radiology · Marshfield, WI	19	30
Elise Beres Physician Assistant · Milwaukee, WI	15	27
Shereif Rezkalla Interventional Cardiology · Marshfield, WI	13	24
Mathew So Diagnostic Radiology · Roseville, MN	11	12
Humberto Vidaillet Clinical Cardiac Electrophysiology · Marshfield, WI	11	21
SAJJAD, SYED	11	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Marshfield Clinic Inc Clinical Laboratory · Marshfield, WI	93	449
Brett Carmichael Diagnostic Radiology · Marshfield, WI	27	58
ST JOSEPH'S HOSPITAL OF MARSHFIELD, INC	22	52
Elise Beres Physician Assistant · Milwaukee, WI	20	47
Nathan Zelinski Diagnostic Radiology · Marshfield, WI	19	53
Mark Hinson Diagnostic Radiology · Marshfield, WI	18	36
Aaron Dagit Diagnostic Radiology · Marshfield, WI	17	31
Lisa Berres Nurse Practitioner · Marshfield, WI	16	85
Laura Burns Physician Assistant · Green Bay, WI	15	39
ROKEY, ROXANN	14	29
Satyanarayana Rao Varre Hospitalist · Marshfield, WI	13	70
Mateen Abidi Internal Medicine · La Crosse, WI	13	30

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history