Kowalczyk, Karen

Kowalczyk, Karen was paid $227K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoKOWALCZYK, KAREN
ADDISON, IL 60101

33aNPI1316189343assigned 04/06/2009

33bProvider typeFamily Nurse Practitioner

28Total paid$227K

24GClaims4,002

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#293 of 3,353

Median peer was paid$25K

This provider vs. median9.2×

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	544	$26K
2019	804	$40K
2020	612	$30K
2021	567	$35K
2022	598	$35K
2023	495	$31K
2024incomplete	382	$29K

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	56%	1,754	1,534	$127K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	2,155	1,772	$98K
90686		<1%	93	82	$1K

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.