Physician
Kowalczyk, James
Kowalczyk, James was paid $843K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.
33Billing provider infoKOWALCZYK, JAMES
FARMINGTON HILLS, MI 48336
FARMINGTON HILLS, MI 48336
33aNPI1285929414assigned 06/16/2011
33bProvider typeEmergency Medicine Physician
28Total paid$843K
24GClaims15,718
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Michigan
Rank by total paid#56 of 248
Median peer was paid$57K
This provider vs. median15×
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 | 2,124 | $70K | |
| 2019 | 2,413 | $83K | |
| 2020 | 2,479 | $111K | |
| 2021 | 3,085 | $191K | |
| 2022 | 2,520 | $164K | |
| 2023 | 1,914 | $131K | |
| 2024incomplete | 1,183 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 62% | 6,484 | 5,763 | $521K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 3,833 | 3,514 | $221K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.8% | 2,185 | 2,019 | $74K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 3,216 | 2,759 | $27K |
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.