Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Koirala, Abhish

Koirala, Abhish was paid $73K by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 77% of everything it billed.

33Billing provider infoKOIRALA, ABHISH
HERRIN, IL 62948
33aNPI1134474471assigned 07/23/2012
28Total paid$73K
24GClaims2,931
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#998 of 3,722
Median peer was paid$26K
This provider vs. median2.8×

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$2.0K$4.0K2018201920202021202220232024
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
2018571$7K
2019878$14K
2020506$15K
2021202$9K
2022528$20K
2023246$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 77% 2,158 881 $56K
99239 Hospital discharge day management, more than 30 minutes 18% 569 539 $13K
99223 Prolong inpt eval add15 m 3.1% 97 96 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.6% 107 45 $2K

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.