Koward, Donna

Koward, Donna was paid $19K by Medicaid between Oct 2019 and Nov 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoKOWARD, DONNA
WARREN, NJ 07059

33aNPI1386622256assigned 01/02/2006

33bProvider typePediatrics Physician

28Total paid$19K

24GClaims1,137

24DCodes billed12

24AFirst – last monthOct 2019 – Nov 2021

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#400 of 549

Median peer was paid$154K

This provider vs. median0.1×

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
2019	186	$4K
2020	158	$6K
2021	793	$9K

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	61%	232	228	$11K
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	21%	55	54	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	7.6%	100	100	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	5.7%	43	43	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	2.3%	13	13	$437.00
3008F		<1%	19	19	$170.00
92551		<1%	13	13	$70.46
96127		<1%	14	14	$34.16
99072		0%	518	504	$0.00
99000		0%	56	56	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	31	31	$0.00
94760		0%	43	41	$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.