Ponciroli, Kevin

Ponciroli, Kevin was paid $202K by Medicaid between Jan 2020 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoPONCIROLI, KEVIN
O FALLON, IL 62269

33aNPI1598776411assigned 08/10/2006

33bProvider typePediatrics Physician

28Total paid$202K

24GClaims4,122

24DCodes billed18

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#550 of 1,805

Median peer was paid$55K

This provider vs. median3.7×

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
2020	27	$1K
2021	119	$6K
2022	960	$44K
2023	1,644	$79K
2024incomplete	1,372	$72K

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	45%	1,873	1,611	$90K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	24%	651	458	$49K
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	12%	348	327	$25K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.8%	171	156	$12K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	3.8%	199	175	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.1%	149	141	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.4%	37	31	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	150	139	$2K
90670		1.1%	133	119	$2K
90686		1.1%	132	112	$2K
99000		1.1%	87	76	$2K
90661		<1%	53	47	$830.73

6 more codes

90697		<1%	31	$518.01
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	32	$492.60
90633		<1%	19	$317.49
87807		<1%	31	$268.87
90681		<1%	13	$217.23
96127		<1%	13	$117.00

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.