Medicare Enrolled

Dr. Prashanth Kumar, M.D.

Nephrology · Victorville, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
12675 HESPERIA RD, Victorville, CA 92395
7602413306
In practice since 2007 (18 years)
NPI: 1821293382 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kumar from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Kumar? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kumar

Dr. Prashanth Kumar is a nephrology specialist in Victorville, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Kumar performed 783 Medicare services across 439 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kumar received a total of $20,350 from 23 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nephrology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kumar is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ 783 Medicare services $20,350 industry payments

Medicare Practice Summary

Medicare Utilization ↗
783
Medicare services
Bottom 33% in CA for nephrology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
439
Unique beneficiaries
$107
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~44 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
395 $96 $150
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
147 $139 $400
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
124 $49 $125
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
55 $279 $400
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
43 $64 $130
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
19 $69 $200
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$20,350
Total received (2018-2024)
Avg $2,907/year across 7 years
Top 7% in CA for nephrology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
79
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$14,935 (73.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,491 (17.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,599 (7.9%)
Other
Charitable contributions, space rental, and other categories
$327 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$114
2023
$2,232
2022
$715
2021
$1,822
2020
$11,611
2019
$3,481
2018
$376

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Quanta Dialysis Technologies Inc
$62
CorMedix Inc.
$52
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$13,421
Quanta Dialysis Technologies Inc
$2,657
NxStage Medical, Inc.
$1,565
Outset Medical Inc
$1,417
Welch Allyn
$206
Abbott Laboratories
$175
Bayer HealthCare Pharmaceuticals Inc.
$131
Novo Nordisk Inc
$124
Baxter Healthcare
$121
Gilead Sciences, Inc.
$95
Mallinckrodt LLC
$74
Keryx Biopharmaceuticals, Inc.
$73
CorMedix Inc.
$52
Relypsa, Inc.
$44
GlaxoSmithKline, LLC.
$33
Horizon Pharma plc
$32
Takeda Pharmaceuticals U.S.A., Inc.
$30
Amgen Inc.
$28
Lilly USA, LLC
$20
Medtronic, Inc.
$16
Calliditas Therapeutics US Inc.
$14
Fresenius USA Marketing, Inc.
$12
Otsuka America Pharmaceutical, Inc.
$11
Top 3 companies account for 86.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AXIUM · Auryxia · BENLYSTA · DefenCath · FreeStyle Libre blood glucose Flash Monitoring System · JARDIANCE · KRYSTEXXA · Kerendia · LIBERTY SELECT CYCLER · LOKELMA · MINIMED 780G · NXSTAGE SYSTEM ONE · None · OCTRODE · Ozempic · PROCLAIM · Parsabiv · SAMSCA · SC+ HEMODIALYSIS MACHINE · SC+ Hemodialysis Machine · SYSTEM ONE · System One · TARPEYO · Uloric · Velphoro · Veltassa
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (73%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in nephrology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for nephrology in CA.

Looking for a nephrology specialist in Victorville?
Compare nephrologists in the Victorville area by procedure volume, costs, and industry payment transparency.
Browse nephrologists nearby

Geographic Context

Nephrologists within 10 mi
16
Per 100K population
0.7
County median income
$82,184
Nearest hospital
VICTOR VALLEY GLOBAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kumar is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 7% of CA peers, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kumar experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Kumar performed 395 hospital follow-up visit, high complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kumar receive payments from pharmaceutical companies?
Yes. Dr. Kumar received a total of $20,350 from 23 companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kumar's costs compare to other nephrologists in Victorville?
Dr. Kumar's average Medicare payment per service is $107. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kumar) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →