Physician
Ken Kozawa I MD PC
Ken Kozawa I MD PC was paid $1.38M by Medicaid between Jan 2018 and Sep 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoKEN KOZAWA I MD PC
SWEETWATER, TN 37874
SWEETWATER, TN 37874
33aNPI1508865445assigned 07/21/2005
33bProvider typeInternal Medicine Physician
28Total paid$1.38M
24GClaims52,739
24DCodes billed44
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#28 of 581
Median peer was paid$15K
This provider vs. median91×
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 | 8,058 | $240K | |
| 2019 | 9,091 | $244K | |
| 2020 | 9,153 | $241K | |
| 2021 | 15,531 | $351K | |
| 2022 | 10,906 | $298K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 23,452 | 18,969 | $635K |
| 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 | 37% | 13,709 | 11,584 | $512K |
| 99442 | 7.2% | 6,052 | 4,862 | $99K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.6% | 419 | 371 | $36K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 1,705 | 488 | $28K |
| 99441 | 1.5% | 1,728 | 1,434 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 473 | 385 | $9K |
| 99443 | <1% | 259 | 225 | $8K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,510 | 1,231 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 269 | 231 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 134 | 113 | $4K |
| 43235 | <1% | 50 | 43 | $3K |
32 more codes
| 99219 | <1% | 73 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 15 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 33 | $1K |
| 99217 | <1% | 14 | $305.61 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 31 | $268.19 |
| 99152 | <1% | 55 | $221.10 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 18 | $179.81 |
| 99406 | <1% | 34 | $164.99 | |
| 96127 | <1% | 19 | $65.98 | |
| 1125F | <1% | 27 | $10.00 | |
| 3008F | <1% | 29 | $10.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 511 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 12 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 22 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 40 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 114 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 12 | $0.00 |
| 3017F | 0% | 19 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 22 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 38 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 150 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 652 | $0.00 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 0% | 103 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 385 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 408 | $0.00 |
| 0521F | 0% | 27 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 15 | $0.00 |
| 4004F | 0% | 15 | $0.00 | |
| 96160 | 0% | 15 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKOZAWA, KENYA (OWNER)