Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kowalski, David

Kowalski, David was paid $510.10 by Medicaid between Nov 2019 and Oct 2021, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoKOWALSKI, DAVID
EFFINGHAM, IL 62401
33aNPI1538194600assigned 07/11/2006
33bProvider typePediatrics Physician
28Total paid$510.10
24GClaims226
24DCodes billed3
24AFirst – last monthNov 2019 – Oct 2021
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#1,758 of 1,805
Median peer was paid$55K
This provider vs. median0.0×

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$200$4002018201920202021202220232024
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
201938$18.91
2020176$491.19
202112$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 14 12 $380.21
99308 Subsequent nursing facility care, per day, straightforward 25% 200 189 $129.89
99309 Subsequent nursing facility care, per day, low to moderate complexity 0% 12 12 $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.