Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Park Ridge › NPI 1326028507
Physician

Koo, Edward

Koo, Edward was paid $486K by Medicaid between Jan 2018 and Feb 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoKOO, EDWARD
PARK RIDGE, IL 60068
33aNPI1326028507assigned 01/22/2006
28Total paid$486K
24GClaims12,358
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#204 of 2,947
Median peer was paid$43K
This provider vs. median11×

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$10K$20K2018201920202021202220232024
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
20183,653$124K
20193,775$149K
20201,625$64K
20211,426$66K
20221,575$71K
2023304$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 7,052 6,549 $287K
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 28% 2,147 2,010 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.6% 1,457 1,386 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.6% 442 413 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.4% 328 311 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.2% 346 320 $11K
87428 1.4% 104 102 $7K
81003 <1% 392 373 $843.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 51 48 $739.50
81025 <1% 26 26 $67.08
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 13 12 $1.82

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.