Physician
Koch, Donna
Koch, Donna was paid $435K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoKOCH, DONNA
GARFIELD, NJ 07026
GARFIELD, NJ 07026
33aNPI1083652853assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$435K
24GClaims12,179
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#61 of 414
Median peer was paid$28K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 1,886 | $66K | |
| 2019 | 1,751 | $65K | |
| 2020 | 1,732 | $58K | |
| 2021 | 2,107 | $77K | |
| 2022 | 2,022 | $60K | |
| 2023 | 1,559 | $64K | |
| 2024incomplete | 1,122 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 49% | 4,457 | 3,792 | $214K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 4,020 | 3,462 | $160K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 997 | 919 | $30K |
| 99401 | 2.7% | 650 | 602 | $12K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 91 | 90 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 58 | 57 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,750 | 1,651 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 31 | 29 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 29 | 27 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | 24 | $675.72 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | 40 | $451.24 |
| 3078F | 0% | 14 | 13 | $0.00 |
1 more codes
| 3074F | 0% | 14 | $0.00 |
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.