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

Carl, Kevin

Carl, Kevin was paid $187K by Medicaid between Oct 2020 and May 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoCARL, KEVIN
MCKEESPORT, PA 15132
33aNPI1144459124assigned 07/10/2009
33bProvider typePsychiatry Physician
28Total paid$187K
24GClaims1,564
24DCodes billed3
24AFirst – last monthOct 2020 – May 2022
Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#61 of 244
Median peer was paid$30K
This provider vs. median6.3×

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
2020214$22K
2021990$122K
2022360$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 88% 1,384 883 $164K
90792 Psychiatric diagnostic evaluation with medical services 9.3% 103 62 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 77 57 $5K

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.