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
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
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 | |
|---|---|---|---|
| 2019 | 38 | $18.91 | |
| 2020 | 176 | $491.19 | |
| 2021 | 12 | $0.00 |
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 | 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.