Kovatch, Anthony

Kovatch, Anthony was paid $9K by Medicaid between Mar 2021 and Feb 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoKOVATCH, ANTHONY
WEXFORD, PA 15090

33aNPI1144228701assigned 07/08/2005

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims311

24DCodes billed7

24AFirst – last monthMar 2021 – Feb 2022

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#890 of 1,257

Median peer was paid$45K

This provider vs. median0.2×

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	203	$7K
2022	108	$2K

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	55%	97	93	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	85	83	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	15%	14	14	$1K
96127		<1%	14	14	$8.80
96160		<1%	15	15	$7.66
3078F		0%	42	42	$0.00
3074F		0%	44	44	$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.