Physician
Hollenberg Agrawal Knoll Warren Hong Fung Tillis Kaushal MDS
Hollenberg Agrawal Knoll Warren Hong Fung Tillis Kaushal MDS was paid $784K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 96156, — 39% of everything it billed.
33Billing provider infoHOLLENBERG AGRAWAL KNOLL WARREN HONG FUNG TILLIS KAUSHAL MDS
POMONA, CA 91767
POMONA, CA 91767
33aNPI1366447781assigned 06/14/2005
33bProvider typePediatrics Physician
28Total paid$784K
24GClaims35,038
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#159 of 1,490
Median peer was paid$15K
This provider vs. median52×
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 | 13,761 | $152K | |
| 2019 | 4,624 | $92K | |
| 2020 | 1,663 | $41K | |
| 2021 | 5,051 | $163K | |
| 2022 | 5,063 | $167K | |
| 2023 | 4,068 | $137K | |
| 2024incomplete | 808 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 39% | 4,000 | 3,980 | $303K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 5,627 | 5,009 | $124K |
| G9920 | Screening performed and negative | 9.3% | 2,409 | 2,400 | $73K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 6,448 | 3,771 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 1,431 | 1,398 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 752 | 727 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 1,012 | 998 | $37K |
| 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 | 4.0% | 1,238 | 1,124 | $32K |
| 92551 | 3.1% | 2,421 | 2,391 | $24K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 374 | 369 | $16K |
| 99173 | <1% | 1,989 | 1,948 | $6K | |
| 90670 | <1% | 595 | 592 | $4K |
24 more codes
| 90698 | <1% | 561 | $4K | |
| 90697 | <1% | 25 | $4K | |
| 90651 | <1% | 141 | $3K | |
| 90686 | <1% | 1,174 | $3K | |
| 99381 | <1% | 18 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 30 | $977.93 |
| 90688 | <1% | 347 | $902.20 | |
| 90681 | <1% | 95 | $817.75 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 132 | $793.28 |
| 90685 | <1% | 109 | $764.25 | |
| 90744 | <1% | 107 | $594.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,138 | $383.93 |
| 99050 | <1% | 36 | $378.00 | |
| 90671 | <1% | 28 | $252.00 | |
| 90680 | <1% | 32 | $207.00 | |
| 99000 | <1% | 263 | $143.64 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 131 | $138.15 |
| 88720 | <1% | 16 | $132.76 | |
| 90633 | <1% | 42 | $90.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 376 | $56.56 |
| 90734 | <1% | 27 | $36.00 | |
| 90696 | <1% | 14 | $18.00 | |
| 90710 | <1% | 13 | $18.00 | |
| 99174 | 0% | 1,887 | $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.
From NPPES
Who's on the registration
Authorized officialHOLLENBERG, JIM (STAFF/IT)