Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Kenosha › NPI 1457465676
Physician

Kim, Tom

Kim, Tom was paid $112K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoKIM, TOM
KENOSHA, WI 53142
33aNPI1457465676assigned 08/17/2006
28Total paid$112K
24GClaims2,033
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Internal Medicine Physician providers in Wisconsin

Rank by total paid#33 of 160
Median peer was paid$6K
This provider vs. median19×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018389$19K
2019322$19K
2020284$15K
2021295$18K
2022161$8K
2023284$17K
2024incomplete298$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 1,208 1,021 $73K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 15% 430 201 $17K
99223 Prolong inpt eval add15 m 14% 172 168 $15K
99239 Hospital discharge day management, more than 30 minutes 4.2% 91 85 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 27 21 $941.34
90686 <1% 38 24 $643.32
80053 Comprehensive metabolic panel <1% 33 26 $331.52
83036 Hemoglobin; glycosylated (A1C) <1% 34 30 $195.30

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.