Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Flushing › NPI 1770560096
Physician

Ko, Wilson

Ko, Wilson was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 25% of everything it billed.

33Billing provider infoKO, WILSON
FLUSHING, NY 11355
33aNPI1770560096assigned 12/28/2005
33bProvider typeOphthalmology Physician
28Total paid$1.06M
24GClaims40,167
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#103 of 1,085
Median peer was paid$34K
This provider vs. median31×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20185,841$171K
20194,597$107K
20201,677$104K
20211,016$43K
20225,317$141K
202314,154$315K
2024incomplete7,565$179K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 25% 9,338 8,567 $268K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 5,323 5,281 $222K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 2,127 2,115 $123K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 9.3% 765 759 $99K
92250 9.0% 6,627 6,558 $95K
66982 4.3% 291 285 $46K
92134 3.0% 2,896 2,847 $32K
92083 2.9% 1,687 1,669 $31K
66821 2.4% 328 324 $26K
92226 1.5% 1,317 1,087 $16K
92133 1.2% 1,138 1,123 $13K
92136 1.2% 1,839 1,179 $13K
24 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 676 $13K
99214 Doctor's office visit, returning patient (more involved) <1% 385 $10K
92286 <1% 917 $9K
92002 <1% 285 $8K
66761 <1% 81 $8K
92020 <1% 974 $7K
92225 <1% 399 $6K
68761 <1% 101 $5K
93886 <1% 29 $2K
93890 <1% 29 $2K
93892 <1% 29 $2K
92025 <1% 208 $2K
67820 <1% 300 $2K
67028 Intravitreal injection of a pharmacologic agent <1% 44 $1K
92202 <1% 135 $524.92
76514 <1% 391 $344.39
92285 <1% 12 $81.84
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 312 $0.00
1036F 0% 397 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 223 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 284 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 216 $0.00
J9035 Injection, bevacizumab, 10 mg 0% 42 $0.00
99072 0% 22 $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.