Kovalsky, Don

Kovalsky, Don was paid $47K by Medicaid between Jan 2018 and Sep 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoKOVALSKY, DON
MOUNT VERNON, IL 62864

33aNPI1700853272assigned 03/03/2006

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$47K

24GClaims2,340

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Illinois

Rank by total paid#5 of 27

Median peer was paid$11K

This provider vs. median4.4×

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	284	$4K
2019	291	$6K
2020	410	$8K
2021	616	$15K
2022	406	$8K
2023	333	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	1,114	1,058	$24K
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%	1,111	1,049	$21K
72114		2.1%	42	41	$961.18
72190		1.1%	34	34	$499.57
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$429.40
72170		<1%	27	26	$206.59

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.