Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Koka Cardiology PC

Koka Cardiology PC was paid $91K by Medicaid between Oct 2020 and Nov 2024, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 28% of everything it billed.

33Billing provider infoKOKA CARDIOLOGY PC
PHILADELPHIA, PA 19107
33aNPI1528307287assigned 01/31/2013
33bProvider typeSpecialist
28Total paid$91K
24GClaims12,588
24DCodes billed18
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Specialist providers in Pennsylvania

Rank by total paid#95 of 543
Median peer was paid$16K
This provider vs. median5.8×

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
2020256$2K
20211,605$9K
20224,423$35K
20234,091$32K
2024incomplete2,213$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28% 1,118 1,082 $26K
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 25% 1,173 1,078 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24% 345 332 $22K
93000 19% 2,088 1,988 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 417 324 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.8% 170 74 $2K
G9459 Currently a tobacco non-user 0% 958 911 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 1,334 1,266 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 445 428 $0.00
G9662 Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure 0% 57 54 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 666 622 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 484 467 $0.00
6 more codes
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 44 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 556 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 61 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 534 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 430 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,708 $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 officialMANION, ANNA (BILLING MANAGER)