Physician
Koehler, Jonathan
Koehler, Jonathan was paid $825K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.
33Billing provider infoKOEHLER, JONATHAN
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
33aNPI1093002404assigned 07/06/2011
33bProvider typeEmergency Medicine Physician
28Total paid$825K
24GClaims11,792
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#48 of 1,211
Median peer was paid$19K
This provider vs. median42×
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 | 1,804 | $86K | |
| 2019 | 2,171 | $108K | |
| 2020 | 1,786 | $108K | |
| 2021 | 1,874 | $143K | |
| 2022 | 1,502 | $123K | |
| 2023 | 1,469 | $136K | |
| 2024incomplete | 1,186 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 55% | 5,475 | 5,015 | $457K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 3,318 | 2,980 | $194K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 13% | 847 | 679 | $106K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.2% | 2,008 | 1,800 | $68K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 25 | 25 | $358.75 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 119 | 118 | $289.33 |
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.