Kosse, Karl

Kosse, Karl was paid $450K by Medicaid between Jan 2018 and Sep 2022, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoKOSSE, KARL
SAINT JOSEPH, MO 64506

33aNPI1548320351assigned 12/11/2006

33bProvider typePediatrics Physician

28Total paid$450K

24GClaims15,776

24DCodes billed39

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#81 of 992

Median peer was paid$40K

This provider vs. median11×

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	6,777	$192K
2019	6,111	$173K
2020	2,832	$83K
2021	43	$1K
2022	13	$520.00

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	18%	2,187	2,008	$80K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	17%	1,268	1,151	$77K
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	17%	1,380	1,340	$76K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	843	829	$52K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.6%	488	474	$30K
92551		5.5%	848	821	$25K
90723		3.8%	662	646	$17K
99188		3.6%	1,154	1,130	$16K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.9%	140	137	$13K
83655		2.4%	977	962	$11K
90710		1.1%	245	243	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	81	79	$5K

27 more codes

90670		<1%	867	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	266	$4K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	115	$4K
69210		<1%	118	$3K
90647		<1%	635	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	75	$3K
85018		<1%	1,075	$2K
99460		<1%	39	$2K
90686		<1%	438	$2K
90681		<1%	326	$2K
90685		<1%	304	$2K
90633		<1%	307	$2K
90674		<1%	265	$1K
99051		<1%	126	$1K
80061	Lipid panel	<1%	100	$1K
90696		<1%	52	$1K
0071A		<1%	23	$720.00
0072A		<1%	20	$720.00
0111A		<1%	13	$520.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	17	$475.24
90672		<1%	82	$430.88
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	25	$349.78
81002		<1%	118	$317.11
95012		<1%	26	$308.10
90734		<1%	28	$142.50
90651		<1%	15	$80.17
99173		<1%	28	$33.84

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.