Kwauk, Sam

Kwauk, Sam was paid $164K by Medicaid between Nov 2019 and Nov 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 86% of everything it billed.

33Billing provider infoKWAUK, SAM
NEW YORK, NY 10013

33aNPI1609811231assigned 06/18/2006

33bProvider typeSurgery Physician

28Total paid$164K

24GClaims2,052

24DCodes billed12

24AFirst – last monthNov 2019 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in New York

Rank by total paid#40 of 396

Median peer was paid$4K

This provider vs. median38×

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	37	$6K
2020	268	$30K
2021	404	$60K
2022	472	$66K
2024incomplete	871	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	86%	820	820	$142K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	333	292	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	104	104	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	42	41	$1K
1159F		0%	126	116	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	54	51	$0.00
1160F		0%	67	61	$0.00
3078F		0%	145	137	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	74	67	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	63	57	$0.00
3008F		0%	122	113	$0.00
3074F		0%	102	96	$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.