Physician
Kim, Su Gym
Kim, Su Gym was paid $791.01 by Medicaid between Apr 2018 and Apr 2018, across 1 billing code. Its largest line is Q9966, Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml — 100% of everything it billed.
33Billing provider infoKIM, SU GYM
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1235418369assigned 08/07/2011
33bProvider typeInterventional Pain Medicine Physician
28Total paid$791.01
24GClaims21
24DCodes billed1
24AFirst – last monthApr 2018 – Apr 2018
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 | |
|---|---|---|---|
| 2018 | 21 | $791.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 100% | 21 | 13 | $791.01 |
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.