Kosse Pediatrics, P.C.

Kosse Pediatrics, P.C. was paid $563K by Medicaid between Jun 2020 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoKOSSE PEDIATRICS, P.C.
SAINT JOSEPH, MO 64506

33aNPI1386970648assigned 10/21/2009

33bProvider typePediatrics Physician

28Total paid$563K

24GClaims15,001

24DCodes billed35

24AFirst – last monthJun 2020 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#68 of 992

Median peer was paid$40K

This provider vs. median14×

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
2020	1,105	$29K
2021	5,080	$143K
2022	3,549	$135K
2023	3,326	$155K
2024incomplete	1,941	$101K

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	29%	2,147	2,099	$163K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	1,017	927	$78K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	927	920	$73K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	1,096	1,069	$58K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.9%	627	623	$50K
92551		8.9%	1,258	1,252	$50K
90723		2.4%	436	431	$13K
99188		2.2%	785	780	$12K
83655		2.1%	1,227	1,219	$12K
G0312	Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)	1.9%	432	428	$11K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	55	55	$5K
D1206	Topical application of fluoride varnish	<1%	361	353	$5K

23 more codes

90674		<1%	606	$4K
90710		<1%	158	$4K
90670		<1%	576	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	182	$3K
85018		<1%	1,547	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	91	$3K
90647		<1%	431	$3K
90480		<1%	55	$2K
99051		<1%	127	$1K
90686		<1%	196	$1K
90633		<1%	174	$998.99
90681		<1%	144	$803.04
91321		<1%	12	$778.02
90671		<1%	95	$766.65
90672		<1%	81	$648.23
99238	Hospital discharge day management, 30 minutes or less	<1%	12	$510.48
90461		<1%	14	$309.12
90696		<1%	14	$285.39
80061	Lipid panel	<1%	24	$257.04
90700		<1%	12	$192.60
90660		<1%	16	$85.60
99173		<1%	54	$67.50
90651		<1%	12	$64.20

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 officialKOSSE, KARL (PRESIDENT)