Physician
Kostko Medical PLLC
Kostko Medical PLLC was paid $938K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoKOSTKO MEDICAL PLLC
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1568853158assigned 02/18/2015
33bProvider typeInternal Medicine Physician
28Total paid$938K
24GClaims23,841
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#299 of 6,049
Median peer was paid$11K
This provider vs. median83×
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 | 2,227 | $80K | |
| 2019 | 2,950 | $103K | |
| 2020 | 3,146 | $103K | |
| 2021 | 4,130 | $188K | |
| 2022 | 4,784 | $232K | |
| 2023 | 4,507 | $164K | |
| 2024incomplete | 2,097 | $68K |
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 | 53% | 7,755 | 6,838 | $501K |
| 99442 | 13% | 2,226 | 2,191 | $119K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.0% | 242 | 242 | $75K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.8% | 692 | 690 | $73K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 6.6% | 423 | 417 | $62K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 1.7% | 1,242 | 1,240 | $16K |
| 93000 | 1.7% | 1,409 | 1,403 | $16K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.6% | 1,589 | 1,583 | $15K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 758 | 753 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 120 | 120 | $12K |
| 95117 | 1.2% | 1,445 | 799 | $11K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,085 | 1,077 | $8K |
12 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 44 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 29 | $1K |
| 99483 | Prolong outpt/office vis | <1% | 18 | $997.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,488 | $475.08 |
| 99401 | <1% | 55 | $276.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $125.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 51 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 51 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 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.
From NPPES
Who's on the registration
Authorized officialKOSTKO, SEMYON (PRESIDENT)