Active NPI 1558727917 Individual Practitioner Male Practitioner

Dr. Pradeep Kumaralingam , MD

Hospitalist • Findlay, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Kumaralingam, MD is a certified Hospitalist practicing in Findlay, OH. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Kumaralingam delivers high-quality medical care to the local community at 1900 S MAIN ST.

Dr. Kumaralingam maintains professional affiliations with Southeastern Physician Services Pc, Galen Inpatient Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 S Main St

Findlay, OH 458401214

Telephone 4194235262

Fax 4194235550

Associated Practice Facility / Clinic

🏢 Neurosurgical Associates Of Northwest Ohio Llc Facility NPI 1043282882

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Findlay, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +1.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 17.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Findlay, OH (983 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumaralingam (15 Years) 15 Yrs

Findlay Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	435	164	$312.82	$74.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	306	123	$594.63	$112.81
99239 Hospital discharge day management, more than 30 minutes	225	214	$544.28	$108.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$547.32	$125.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$1060.73	$165.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	589	223	$591.20	$115.75
99239 Hospital discharge day management, more than 30 minutes	224	212	$622.71	$111.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	33	$411.56	$77.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$1149.88	$168.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	439	192	$560.49	$100.21
99239 Hospital discharge day management, more than 30 minutes	207	197	$590.56	$102.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	151	76	$391.85	$69.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	49	$1085.20	$194.08
99226 Subsequent observation care, typically 35 minutes per day	31	26	$566.81	$98.71
99217 Hospital observation care on day of discharge	29	29	$400.07	$62.07
99497 Advance care planning, first 30 minutes	25	25	$425.88	$76.27
99220 Hospital observation care, typically 70 minutes	21	21	$1001.76	$175.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	799	321	$525.61	$101.88
99239 Hospital discharge day management, more than 30 minutes	308	293	$554.34	$105.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	55	$339.14	$68.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	82	$1005.22	$199.26
99217 Hospital observation care on day of discharge	27	27	$379.70	$68.83
99226 Subsequent observation care, typically 35 minutes per day	17	17	$540.18	$102.80
99220 Hospital observation care, typically 70 minutes	17	17	$949.00	$180.97
99497 Advance care planning, first 30 minutes	11	11	$358.73	$78.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	366	166	$381.74	$104.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	103	$128.82	$71.67
99239 Hospital discharge day management, more than 30 minutes	138	134	$371.62	$106.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	80	$764.94	$203.66
99238 Hospital discharge day management, 30 minutes or less	27	26	$138.90	$71.80
99217 Hospital observation care on day of discharge	14	14	$202.36	$72.02
99291 Critical care, first 30-74 minutes	14	14	$881.19	$223.80
99497 Advance care planning, first 30 minutes	13	13	$318.62	$79.40
99219 Hospital observation care, typically 50 minutes	13	13	$222.70	$134.72
99220 Hospital observation care, typically 70 minutes	13	12	$496.37	$184.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	436	194	$110.15	$70.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	284	124	$156.35	$101.63
99239 Hospital discharge day management, more than 30 minutes	99	94	$190.25	$103.44
99238 Hospital discharge day management, 30 minutes or less	90	85	$138.90	$71.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	73	$309.05	$195.40
99217 Hospital observation care on day of discharge	51	51	$138.90	$71.05
99219 Hospital observation care, typically 50 minutes	50	50	$222.70	$132.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$222.70	$131.78
99225 Subsequent observation care, typically 25 minutes per day	28	22	$73.50	$71.45
99220 Hospital observation care, typically 70 minutes	22	22	$310.20	$181.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	262	117	$156.35	$101.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	130	$110.21	$71.04
99239 Hospital discharge day management, more than 30 minutes	130	125	$190.25	$105.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$309.05	$198.71
99217 Hospital observation care on day of discharge	46	46	$138.90	$70.92
99219 Hospital observation care, typically 50 minutes	45	43	$222.70	$133.35
99238 Hospital discharge day management, 30 minutes or less	28	28	$138.90	$71.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$222.70	$134.04
99220 Hospital observation care, typically 70 minutes	27	27	$310.20	$182.43
99225 Subsequent observation care, typically 25 minutes per day	21	17	$73.50	$71.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	279	145	$156.35	$101.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	258	153	$110.15	$70.41
99239 Hospital discharge day management, more than 30 minutes	105	98	$190.25	$103.65
99238 Hospital discharge day management, 30 minutes or less	68	66	$138.48	$70.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$305.97	$196.70
99219 Hospital observation care, typically 50 minutes	50	50	$222.70	$132.53
99217 Hospital observation care on day of discharge	39	37	$138.90	$69.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$216.07	$132.71
99220 Hospital observation care, typically 70 minutes	15	15	$310.20	$181.19

Medical Specialties & State Licenses

CMS Verified: 2020-08-19

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License OH 35.128963

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License OH 35.128963

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MO 2020010537

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MO 2020010537

Hospital & Practice Group Affiliations

Southeastern Physician Services Pc

10 Hospital Dr, Saint Peters, MO 633761659

Phone: 8005019855

Galen Inpatient Physicians Pc

1015 Bowles Ave, Fenton, MO 630262394

Phone: 6364962000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. William Kose , MD

Internal Medicine

NPI 1003099656

Doctor of Medicine (M.D.)

Andrew Ebright , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134144496

Certified Registered Nurse Anesthetist

Dr. Clara Rimmer , MD

Internal Medicine - Critical Care Medicine

NPI 1154696334

Doctor of Medicine (M.D.)

John Topa , CRNA

Nurse Anesthetist, Certified Registered

NPI 1366460669

Certified Registered Nurse Anesthetist

Dr. Pingali Chandra Mohan , MD

Internal Medicine

NPI 1558509109

Doctor of Medicine (M.D.)

Barbara Akers , CRNA

Nurse Anesthetist, Certified Registered

NPI 1568481067

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Internal Medicine (License #2020010537 in MO)

✅

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2017

Registered at 1900 S MAIN ST, FINDLAY, OH 458401214 (Tel: 4194235262)

📍

Updated Business Mailing Address February 02, 2017

Registered at 1900 S MAIN ST, FINDLAY, OH 458401214 (Tel: 4194235262)

👤

Provider Name / Credentials Updated February 02, 2017

Recorded as PRADEEP KUMARALINGAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Internal Medicine (License #35.128963 in OH)

✅

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2016

Registered at 1900 S MAIN ST, FINDLAY, OH 458401214 (Tel: 4194235262)

📍

Updated Business Mailing Address August 24, 2016

Registered at 1900 S MAIN ST, FINDLAY, OH 458401214 (Tel: 4194235262)

👤

Provider Name / Credentials Updated August 24, 2016

Recorded as PRADEEP KUMARALINGAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Hospitalist (License #35.128963 in OH)

🟢

Initial NPI Registration & Enumeration January 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558727917

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 14, 2016

Last Update: August 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1900 S Main St

Findlay, OH 458401214

Phone: 4194235262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.