Kosicek, Carmen
Kosicek, Carmen was paid $383K by Medicaid between Jan 2018 and Jan 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoKOSICEK, CARMEN
HILLSBORO, OR 97123
HILLSBORO, OR 97123
33aNPI1255863767assigned 04/03/2017
33bProvider typeRegistered Nurse
28Total paid$383K
24GClaims10,130
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Registered Nurse providers in Oregon
Rank by total paid#3 of 34
Median peer was paid$11K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2018 | 3,394 | $135K | |
| 2019 | 4,154 | $175K | |
| 2020 | 1,345 | $45K | |
| 2021 | 692 | $20K | |
| 2022 | 519 | $9K | |
| 2023 | 26 | $68.07 |
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 | 20% | 2,350 | 1,870 | $79K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 20% | 1,004 | 801 | $76K |
| 90836 | 19% | 1,364 | 1,030 | $73K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 16% | 1,627 | 1,197 | $60K |
| Q3014 | Telehealth originating site facility fee | 13% | 2,888 | 2,222 | $48K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 10% | 429 | 364 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 58 | 37 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 86 | 68 | $2K |
| 90785 | <1% | 110 | 94 | $1K | |
| 80305 | <1% | 159 | 94 | $905.57 | |
| 3008F | <1% | 22 | 17 | $100.00 | |
| 99000 | <1% | 33 | 32 | $15.68 |
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.