Physician
Kondziolka, Douglas
Kondziolka, Douglas was paid $14K by Medicaid between Oct 2019 and Sep 2024, across 4 billing codes. Its largest line is 61796, — 45% of everything it billed.
33Billing provider infoKONDZIOLKA, DOUGLAS
NEW YORK, NY 10016
NEW YORK, NY 10016
33aNPI1063486488assigned 02/14/2006
33bProvider typeNeurological Surgery Physician
28Total paid$14K
24GClaims237
24DCodes billed4
24AFirst – last monthOct 2019 – Sep 2024
Compared with peers
Next to other Neurological Surgery Physician providers in New York
Rank by total paid#26 of 80
Median peer was paid$3K
This provider vs. median4.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 26 | $367.24 | |
| 2021 | 81 | $2K | |
| 2022 | 13 | $433.27 | |
| 2023 | 64 | $9K | |
| 2024incomplete | 53 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 61796 | 45% | 12 | 12 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 118 | 117 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 94 | 93 | $2K |
| 61800 | 4.7% | 13 | 12 | $656.11 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.