Kovacs, Stephen

Kovacs, Stephen was paid $5K by Medicaid between Mar 2021 and Apr 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoKOVACS, STEPHEN
ERIE, PA 16508

33aNPI1467574186assigned 04/04/2007

33bProvider typePulmonary Disease Physician

28Total paid$5K

24GClaims228

24DCodes billed3

24AFirst – last monthMar 2021 – Apr 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#75 of 137

Median peer was paid$7K

This provider vs. median0.7×

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
2021	78	$2K
2022	65	$2K
2023	52	$1K
2024incomplete	33	$229.30

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	83%	92	92	$4K
94726		12%	80	80	$599.25
94729		5.8%	56	56	$299.64

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.