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

Kozawa, Kenya

Kozawa, Kenya was paid $336K by Medicaid between Jan 2018 and Dec 2020, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoKOZAWA, KENYA
SWEETWATER, TN 37874
33aNPI1568460525assigned 07/13/2005
28Total paid$336K
24GClaims16,012
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#79 of 581
Median peer was paid$15K
This provider vs. median22×

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$5.0K$10K$15K2018201920202021202220232024
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
20187,913$128K
20194,954$122K
20203,145$86K
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 36% 4,157 3,505 $122K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 22% 764 666 $75K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 11% 2,358 687 $38K
99152 4.6% 600 489 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3.8% 156 130 $13K
99219 3.7% 347 311 $12K
43235 3.0% 171 135 $10K
99238 Hospital discharge day management, 30 minutes or less 2.8% 431 362 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.6% 2,557 2,121 $9K
99222 Initial hospital care, per day, moderate complexity 2.4% 200 167 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.9% 61 55 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 243 204 $6K
24 more codes
99217 1.4% 199 $5K
99244 Office or other outpatient consultation, moderate to high complexity 1.0% 30 $3K
99204 Doctor's office visit, new patient (more involved) <1% 32 $939.58
99205 Prolong outpt/office vis <1% 14 $859.58
99225 <1% 35 $595.99
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% 28 $554.38
99442 <1% 14 $318.82
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% 13 $102.71
3045F <1% 58 $60.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 45 $0.00
1036F 0% 269 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 459 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 62 $0.00
90686 0% 12 $0.00
3008F 0% 17 $0.00
3017F 0% 394 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 93 $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% 676 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 229 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 429 $0.00
4004F 0% 163 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 185 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 488 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 23 $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.