Kaul, Usha

Kaul, Usha was paid $75K by Medicaid between Jan 2018 and Mar 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoKAUL, USHA
GRAND ISLAND, NY 14072

33aNPI1609826601assigned 05/11/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$75K

24GClaims2,080

24DCodes billed11

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#84 of 161

Median peer was paid$100K

This provider vs. median0.7×

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
2018	935	$34K
2019	1,025	$36K
2020	120	$5K

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	52%	781	735	$39K
90460	Immunization administration through 18 years of age via any route, first or only component	18%	622	616	$13K
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	13%	129	125	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.2%	91	90	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	43	43	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.6%	29	29	$2K
G9007	Coordinated care fee, scheduled team conference	1.9%	15	14	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	34	33	$482.46
90686		<1%	290	289	$206.25
96127		<1%	16	16	$57.18
90685		0%	30	30	$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.