Physician
Koncal, Scott
Koncal, Scott was paid $6K by Medicaid between May 2024 and Jun 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 60% of everything it billed.
33Billing provider infoKONCAL, SCOTT
KETTERING, OH 45429
KETTERING, OH 45429
33aNPI1477747855assigned 08/29/2007
33bProvider typeEmergency Medicine Physician
28Total paid$6K
24GClaims95
24DCodes billed3
24AFirst – last monthMay 2024 – Jun 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Ohio
Rank by total paid#250 of 368
Median peer was paid$13K
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 | |
|---|---|---|---|
| 2024incomplete | 95 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 60% | 59 | 58 | $3K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 30% | 20 | 20 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10.0% | 16 | 16 | $565.20 |
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.