Medicare Enrolled

Dr. Prem Kumar, MD

Internal Medicine · Butler, PA
Practice pattern: Cardiac Imaging — Practice with significant diagnostic imaging and stress testing
Low-engagement
510 NORTH MAIN ST, Butler, PA 16001
7242823534
In practice since 2006 (19 years)
NPI: 1962571299 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. Prem Kumar is an internal medicine specialist in Butler, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kumar performed 1,050 Medicare services across 896 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kumar received a total of $5,069 from 27 pharmaceutical and/or device companies across 282 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.

✓ 19 years in practice ▲ Top 25% volume in PA $5,069 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,050
Medicare services
Top 25% in PA for internal medicine
896
Unique beneficiaries
$32
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~55 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
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
461 $6 $40
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.
170 $47 $90
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
123 $51 $600
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
40 $26 $300
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision.
32 $16 $50
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results.
32 $10 $200
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera.
30 $58 $390
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
28 $123 $300
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
26 $62 $120
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
25 $61 $85
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.
23 $133 $250
Quadrivalent influenza vaccine, cell-culture derived
A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics.
20 $33 $60
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.
20 $91 $120
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
20 $29 $30
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.
11.7% high complexity
12.8% medium
75.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,069
Total received (2018-2024)
Avg $724/year across 7 years
Top 12% in PA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
282
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,069 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$526
2023
$555
2022
$677
2021
$1,271
2020
$544
2019
$734
2018
$760

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$98
Janssen Pharmaceuticals, Inc
$96
Janssen Scientific Affairs, LLC
$92
AstraZeneca Pharmaceuticals LP
$64
SANOFI-AVENTIS U.S. LLC
$40
GlaxoSmithKline, LLC.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Actelion Pharmaceuticals US, Inc.
$18
E.R. Squibb & Sons, L.L.C.
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
PFIZER INC.
$14
Novo Nordisk Inc
$14
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$5
Top 3 companies account for 54.5% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$1,105
Boehringer Ingelheim Pharmaceuticals, Inc.
$776
AstraZeneca Pharmaceuticals LP
$433
Novartis Pharmaceuticals Corporation
$421
GlaxoSmithKline, LLC.
$400
SANOFI-AVENTIS U.S. LLC
$326
E.R. Squibb & Sons, L.L.C.
$293
Novo Nordisk Inc
$228
United Therapeutics Corporation
$149
Kowa Pharmaceuticals America, Inc.
$138
Amgen Inc.
$125
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$110
Janssen Scientific Affairs, LLC
$92
Otsuka America Pharmaceutical, Inc.
$91
Boston Scientific Corporation
$56
Merck Sharp & Dohme Corporation
$50
Esperion Therapeutics, Inc.
$48
PFIZER INC.
$44
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$35
HeartFlow, Inc.
$26
Regeneron Healthcare Solutions, Inc.
$25
Lexicon Pharmaceuticals, Inc.
$19
Actelion Pharmaceuticals US, Inc.
$18
Bayer HealthCare Pharmaceuticals Inc.
$18
Preventice Services, LLC
$17
Abbott Laboratories
$13
Circassia Pharmaceuticals Inc
$12
Top 3 companies account for 45.7% of all-time payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · BG Mini Plus · BREO · BRILINTA · CAMZYOS · COLOGUARD DNA CAPTURE REAGENTS · ELIQUIS · ENTRESTO · FARXIGA · FFRct · General - Therapies · Inpefa · JANUMET · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LifeVest · Livalo · MULTAQ · NEXLETOL · OPSUMIT · ORENITRAM · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Quadra Allure MP RF CRT Pacemkr · RYBELSUS · Repatha · Rybelsus · SAMSCA · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · Victoza · WATCHMAN · WATCHMAN Access System · XARELTO · XIFAXAN
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Butler?
Compare internal medicine physicians in the Butler area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians within 10 mi
159
Per 100K population
81.2
County median income
$86,775
Nearest hospital
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA
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 cardiac imaging specialist, with above-average Medicare volume (top 25% in PA), with low-engagement industry engagement in the top 12% of PA peers, with 19 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 ekg interpretation and report?
Based on Medicare claims data, Dr. Kumar performed 461 ekg interpretation and report 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 $5,069 from 27 companies across 282 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 internal medicine physicians in Butler?
Dr. Kumar's average Medicare payment per service is $32. 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 →