Costalez, Jessica

Costalez, Jessica was paid $10K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 96% of everything it billed.

33Billing provider infoCOSTALEZ, JESSICA
KANSAS CITY, MO 64108

33aNPI1457672982assigned 06/18/2010

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$10K

24GClaims228

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Missouri

Rank by total paid#36 of 47

Median peer was paid$22K

This provider vs. median0.4×

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	128	$5K
2019	71	$3K
2020	29	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	96%	214	214	$9K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.9%	14	14	$371.75

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.