James H. Ko, M.D., LLC

James H. Ko, M.D., LLC was paid $11K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoJAMES H. KO, M.D., LLC
ENGLEWOOD, NJ 07631

33aNPI1326280942assigned 03/27/2009

33bProvider typeNeurology Physician

28Total paid$11K

24GClaims155

24DCodes billed2

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Neurology Physician providers in New Jersey

Rank by total paid#58 of 112

Median peer was paid$12K

This provider vs. median0.9×

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	155	$11K

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	65%	115	114	$7K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	35%	40	40	$4K

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 officialKO, JAMES (MEMBER)