Kowalski, John

Kowalski, John was paid $235K by Medicaid between Jan 2018 and Mar 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoKOWALSKI, JOHN
OAK LAWN, IL 60453

33aNPI1396711875assigned 02/24/2006

33bProvider typePediatrics Physician

28Total paid$235K

24GClaims4,775

24DCodes billed17

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#501 of 1,805

Median peer was paid$55K

This provider vs. median4.3×

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	1,468	$74K
2019	2,790	$131K
2020	517	$30K

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	31%	1,649	1,442	$73K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	20%	635	575	$47K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	20%	576	523	$46K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	330	305	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.7%	645	576	$16K
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	2.9%	101	86	$7K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.6%	91	84	$6K
90734		2.1%	112	97	$5K
90716		1.2%	83	74	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.0%	205	188	$2K
90707		<1%	87	82	$2K
90670		<1%	86	83	$2K

5 more codes

90715	<1%	52	$784.11
90723	<1%	65	$580.47
90647	<1%	28	$172.80
90633	<1%	16	$105.76
90680	<1%	14	$89.60

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.