Kowalyk, Stephan

Kowalyk, Stephan was paid $165K by Medicaid between Oct 2020 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoKOWALYK, STEPHAN
GREENSBURG, PA 15601

33aNPI1457458168assigned 09/17/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$165K

24GClaims3,193

24DCodes billed7

24AFirst – last monthOct 2020 – Oct 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania

Rank by total paid#15 of 143

Median peer was paid$15K

This provider vs. median11×

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	185	$9K
2021	817	$39K
2022	710	$40K
2023	864	$43K
2024incomplete	617	$34K

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	61%	1,826	1,808	$100K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	491	163	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.1%	420	354	$15K
99223	Prolong inpt eval add15 m	8.8%	127	122	$15K
95251		4.6%	249	249	$8K
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	3.9%	68	68	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$596.80

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.