Kovach, Kevin

Kovach, Kevin was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 62% of everything it billed.

33Billing provider infoKOVACH, KEVIN
ELMHURST, IL 60126

33aNPI1386643658assigned 07/19/2005

33bProvider typeOphthalmology Physician

28Total paid$1.14M

24GClaims9,862

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#21 of 431

Median peer was paid$34K

This provider vs. median33×

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	1,389	$113K
2019	1,133	$46K
2020	1,152	$69K
2021	1,539	$178K
2022	1,285	$190K
2023	1,863	$335K
2024incomplete	1,501	$208K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	62%	975	787	$709K
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	7.7%	1,674	1,626	$88K
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	7.1%	1,253	1,166	$81K
67228		4.0%	119	30	$46K
67028	Intravitreal injection of a pharmacologic agent	3.8%	172	100	$43K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.5%	1,072	887	$40K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	954	889	$33K
92134		2.7%	1,448	1,307	$30K
92136		2.0%	784	502	$23K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.5%	775	628	$17K
66821		1.1%	64	57	$13K
J9035	Injection, bevacizumab, 10 mg	<1%	69	44	$4K

8 more codes

92133		<1%	153	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	67	$3K
92083		<1%	74	$2K
92250		<1%	55	$2K
99203	Doctor's office visit, new patient (routine)	<1%	25	$1K
92002		<1%	25	$688.75
92015	Determination of refractive state	<1%	18	$332.10
1036F		0%	86	$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.