Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1093002404assigned 07/06/2011
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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,804$86K
20192,171$108K
20201,786$108K
20211,874$143K
20221,502$123K
20231,469$136K
2024incomplete1,186$120K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.