Physician
Kon, Raphael
Kon, Raphael was paid $122K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.
33Billing provider infoKON, RAPHAEL
TUNKHANNOCK, PA 18657
TUNKHANNOCK, PA 18657
33aNPI1780782037assigned 09/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$122K
24GClaims5,084
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#178 of 1,726
Median peer was paid$6K
This provider vs. median19×
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 | 268 | $2K | |
| 2019 | 370 | $3K | |
| 2020 | 239 | $6K | |
| 2021 | 1,361 | $34K | |
| 2022 | 1,265 | $33K | |
| 2023 | 1,164 | $31K | |
| 2024incomplete | 417 | $13K |
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 | 96% | 4,638 | 3,370 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 227 | 170 | $4K |
| 90756 | <1% | 99 | 99 | $683.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | 64 | $600.00 |
| 90688 | 0% | 43 | 41 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $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.