Kugler, Edward

Kugler, Edward was paid $83K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoKUGLER, EDWARD
CLIFTON, NJ 07013

33aNPI1326093204assigned 05/22/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$83K

24GClaims6,374

24DCodes billed15

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#89 of 186

Median peer was paid$75K

This provider vs. median1.1×

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	1,175	$10K
2019	1,274	$19K
2020	486	$6K
2021	1,121	$18K
2022	355	$3K
2023	1,610	$21K
2024incomplete	353	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	90%	1,237	1,037	$74K
81000		3.1%	1,570	1,264	$3K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	1.5%	314	274	$1K
99401		1.4%	30	29	$1K
81025		1.0%	244	191	$856.89
96161		<1%	299	273	$559.69
Q0111	Wet mounts, including preparations of vaginal, cervical or skin specimens	<1%	117	91	$541.42
87210		<1%	183	164	$500.13
81002		<1%	684	467	$470.19
87220		<1%	152	140	$356.73
96160		<1%	52	52	$238.17
83986		<1%	89	65	$43.17

3 more codes

Q0112	All potassium hydroxide (koh) preparations	<1%	87	$8.10
99000		<1%	1,203	$2.38
99072		0%	113	$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.