Physician
Kovalchick, Charles
Kovalchick, Charles was paid $86K by Medicaid between Sep 2021 and Nov 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoKOVALCHICK, CHARLES
LAKE ARIEL, PA 18436
LAKE ARIEL, PA 18436
33aNPI1144215682assigned 09/12/2005
33bProvider typeFamily Medicine Physician
28Total paid$86K
24GClaims1,064
24DCodes billed4
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#697 of 2,756
Median peer was paid$19K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2021 | 32 | $2K | |
| 2022 | 172 | $11K | |
| 2023 | 382 | $28K | |
| 2024incomplete | 478 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 742 | 672 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 201 | 183 | $0.00 |
| 3008F | 0% | 104 | 97 | $0.00 | |
| 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 | 0% | 17 | 16 | $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.