Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC.

NPI: 1265611149 · TOLEDO, OH 43617 · Specialist · NPI assigned 10/29/2007

$23K
Total Medicaid Paid
2,706
Total Claims
2,528
Beneficiaries
18
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialCHMIELOWICZ, KAREN (BILLING SPERVISOR)
NPI Enumeration Date10/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,706 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 440 414 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 242 229 $8K
90756 46 37 $532.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $194.47
G8421 Bmi not documented and no reason is given 153 153 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 193 176 $0.00
4004F 177 162 $0.00
G8484 Influenza immunization was not administered, reason not given 191 178 $0.00
3023F 34 31 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 85 75 $0.00
G8482 Influenza immunization administered or previously received 24 21 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 245 237 $0.00
G8926 Spirometry test not performed or documented, reason not given 102 91 $0.00
1036F 324 304 $0.00
3017F 250 234 $0.00
3014F 30 30 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 139 126 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 14 $0.00