Active NPI 1518087576 Individual Practitioner Male Practitioner

Dr. Haresh Kumar , MD

Internal Medicine - Nephrology • Victoria, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Haresh Kumar, MD is a certified Internal Medicine - Nephrology practicing in Victoria, TX. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Kumar delivers high-quality medical care to the local community at 2710 HOSPITAL DRIVE.

Dr. Kumar is affiliated with Victoria Nephrology Associates Llc 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, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2710 Hospital Drive
Suite 114

Victoria, TX 779015701

Telephone 3615827999

Fax 3615827998

Associated Practice Facility / Clinic

🏢 Primefort Health Llc Facility NPI 1508315110

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Victoria, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -2.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Victoria, TX (1192 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (23 Years) 23 Yrs

Victoria Specialty Average (25.3 Years) 25.3 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	984	174	$141.36	$75.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	597	279	$227.24	$122.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	481	204	$30.98	$15.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	370	157	$199.93	$112.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	188	137	$357.71	$164.84
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	169	26	$498.30	$336.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$309.41	$159.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	43	$246.00	$124.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	37	14	$509.43	$278.37
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$133.57	$85.30
90935 Hemodialysis procedure with physician evaluation	32	23	$185.16	$67.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	19	$282.59	$172.04
99291 Critical care, first 30-74 minutes	27	18	$379.37	$202.16

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	1,072	200	$175.00	$77.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	636	311	$243.00	$124.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	467	180	$250.00	$116.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	206	160	$475.00	$169.80
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	168	29	$577.00	$344.82
90935 Hemodialysis procedure with physician evaluation	94	26	$275.00	$69.96
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	68	22	$577.00	$286.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	52	$300.00	$127.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$380.00	$162.32
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$150.00	$86.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$330.00	$174.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$80.00	$48.49

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	1,197	188	$175.00	$68.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	585	303	$243.00	$123.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	373	154	$250.00	$97.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	209	154	$475.00	$189.01
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	207	36	$577.00	$347.07
90935 Hemodialysis procedure with physician evaluation	130	39	$275.00	$70.21
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	107	31	$577.00	$287.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	45	$300.00	$129.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$380.00	$161.29
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$150.00	$83.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	16	$330.00	$174.43

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	1,349	230	$175.00	$70.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	646	330	$243.00	$127.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	470	161	$250.00	$101.29
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	274	36	$577.00	$356.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	253	191	$475.00	$196.28
90935 Hemodialysis procedure with physician evaluation	178	63	$275.00	$72.08
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	123	32	$577.00	$294.83
90945 Dialysis procedure including 1 evaluation	74	11	$254.05	$85.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	52	$300.00	$133.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$380.00	$165.44
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$150.00	$90.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	28	$330.00	$178.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$80.00	$37.69
99291 Critical care, first 30-74 minutes	26	21	$450.00	$215.51

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	1,547	235	$175.00	$72.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	298	$243.00	$107.26
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	345	50	$577.00	$285.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	338	149	$250.00	$103.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	241	191	$475.00	$201.52
90935 Hemodialysis procedure with physician evaluation	240	61	$275.00	$73.77
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	182	42	$577.00	$239.53
99442 Telephone medical discussion with physician, 11-20 minutes	71	67	$137.51	$74.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	57	$299.24	$136.96
99213 Established patient office or other outpatient visit, typically 15 minutes	63	59	$150.00	$73.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$380.00	$162.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	20	$80.00	$39.17
99443 Telephone medical discussion with physician, 21-30 minutes	31	31	$116.13	$101.35
90962 Dialysis services, 1 physician visit per month (20 years or older)	12	11	$577.00	$183.98

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	1,827	275	$175.05	$70.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	699	388	$242.87	$104.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	411	166	$250.00	$101.16
90935 Hemodialysis procedure with physician evaluation	311	74	$275.00	$71.65
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	266	39	$577.00	$276.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	248	187	$475.00	$196.68
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	151	39	$577.00	$232.30
90966 Home dialysis services per month, patient 20 years of age or older	124	17	$578.40	$231.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	82	$300.00	$133.08
99213 Established patient office or other outpatient visit, typically 15 minutes	86	77	$150.35	$71.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	61	18	$200.00	$66.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$380.00	$158.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	17	$84.13	$38.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	25	$330.00	$140.27
90962 Dialysis services, 1 physician visit per month (20 years or older)	25	17	$577.00	$179.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$300.00	$103.95
99291 Critical care, first 30-74 minutes	16	13	$427.69	$216.82

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	1,708	314	$175.00	$70.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	798	432	$243.17	$103.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	297	140	$250.00	$101.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	263	212	$475.00	$197.10
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	241	35	$577.00	$276.08
90966 Home dialysis services per month, patient 20 years of age or older	179	23	$580.87	$224.27
90935 Hemodialysis procedure with physician evaluation	159	62	$275.00	$70.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	85	$301.59	$132.37
90945 Dialysis procedure including 1 evaluation	104	17	$267.55	$83.38
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	97	31	$577.00	$232.05
99497 Advance care planning, first 30 minutes	61	55	$150.00	$82.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$380.00	$156.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	13	$200.00	$67.27
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$153.10	$70.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$330.00	$140.11
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	13	$577.00	$179.13

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	1,789	346	$175.00	$70.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	858	447	$243.00	$102.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	408	168	$250.00	$101.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	266	225	$475.00	$196.45
90966 Home dialysis services per month, patient 20 years of age or older	224	30	$578.54	$225.92
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	218	34	$577.00	$274.17
90945 Dialysis procedure including 1 evaluation	183	24	$305.74	$82.92
90935 Hemodialysis procedure with physician evaluation	163	63	$275.00	$70.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	118	96	$301.06	$132.61
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	91	33	$577.00	$230.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$380.00	$155.59
99213 Established patient office or other outpatient visit, typically 15 minutes	79	73	$150.00	$69.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	12	$200.00	$66.55
99291 Critical care, first 30-74 minutes	16	12	$446.88	$216.97

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX N1373

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

218061401 (TX)

Hospital & Practice Group Affiliations

Victoria Nephrology Associates Llc

2710 Hospital Dr, Victoria, TX 779015743

Phone: 3615827999

Practice Associates & Co-Workers

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

1 Associated Practitioners

Cherise Bludau-Branch , MSN, FNP-C

Nurse Practitioner - Family

NPI 1528095767

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2015

Registered at 2710 HOSPITAL DRIVE, SUITE 114, VICTORIA, TX 779015701 (Tel: 3615827999)

📍

Updated Business Mailing Address April 09, 2015

Registered at 2710 HOSPITAL DRIVE, SUITE 114, VICTORIA, TX 779015701 (Tel: 3615827999)

👤

Provider Name / Credentials Updated April 09, 2015

Recorded as HARESH KUMAR, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2015

Internal Medicine (License #N1373 in TX)

🟢

Initial NPI Registration & Enumeration March 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518087576

Entity Type:

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

Enumeration Date: March 30, 2007

Last Update: April 09, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2710 Hospital Drive, Suite 114

Victoria, TX 779015701

Phone: 3615827999

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.