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

John J Koo MD INC

John J Koo MD INC was paid $176K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 60% of everything it billed.

33Billing provider infoJOHN J KOO MD INC
KAILUA, HI 96734
33aNPI1275826307assigned 05/23/2011
33bProvider typeHospitalist Physician
28Total paid$176K
24GClaims3,643
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Hospitalist Physician providers in Hawaii

Rank by total paid#2 of 13
Median peer was paid$17K
This provider vs. median10×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,164$45K
2019835$39K
2020340$21K
2021383$21K
2022212$11K
2023303$21K
2024incomplete406$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 60% 2,383 638 $105K
99223 Prolong inpt eval add15 m 25% 503 448 $45K
99239 Hospital discharge day management, more than 30 minutes 14% 519 443 $25K
99497 <1% 17 14 $308.91
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 221 201 $0.00

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.

From NPPES

Who's on the registration

Authorized officialKOO, JOHN (OWNER)