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

Koenig, Paul

Koenig, Paul was paid $7K by Medicaid between Feb 2018 and May 2022, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 81% of everything it billed.

33Billing provider infoKOENIG, PAUL
AUBURN, NY 13021
33aNPI1194860924assigned 02/20/2007
28Total paid$7K
24GClaims303
24DCodes billed3
24AFirst – last monthFeb 2018 – May 2022
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#846 of 2,113
Median peer was paid$5K
This provider vs. median1.6×

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$250$500$7502018201920202021202220232024
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
2018114$3K
2019121$2K
202034$794.11
202115$371.41
202219$458.21
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 81% 243 235 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 34 30 $829.62
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.2% 26 25 $509.88

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.