Managed care
Kwong, Raymond
Kwong, Raymond was paid $59K by Medicaid between Oct 2019 and Jul 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoKWONG, RAYMOND
HOUSTON, TX 77036
HOUSTON, TX 77036
33aNPI1194950402assigned 05/16/2009
33bProvider typePreferred Provider Organization
28Total paid$59K
24GClaims1,970
24DCodes billed7
24AFirst – last monthOct 2019 – Jul 2021
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#22 of 32
Median peer was paid$168K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 119 | $2K | |
| 2020 | 1,069 | $28K | |
| 2021 | 782 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 1,134 | 1,058 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 75 | 75 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 467 | 285 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 39 | 39 | $3K |
| 36410 | 2.2% | 98 | 95 | $1K | |
| 99051 | <1% | 25 | 25 | $404.25 | |
| 90656 | <1% | 132 | 131 | $40.96 |
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.