Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Harish Koolwal MD PA

Harish Koolwal MD PA was paid $82K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99444, — 56% of everything it billed.

33Billing provider infoHARISH KOOLWAL MD PA
PHARR, TX 78577
33aNPI1811049869assigned 01/18/2007
28Total paid$82K
24GClaims3,223
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Texas

Rank by total paid#38 of 225
Median peer was paid$6K
This provider vs. median14×

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$5.0K$10K2018201920202021202220232024
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
2018840$6K
20191,280$49K
2020448$18K
2021190$1K
2022241$4K
2023113$3K
2024incomplete111$499.35
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 56% 805 212 $46K
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 16% 1,085 1,034 $13K
99423 15% 212 55 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 603 583 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.0% 185 178 $4K
99441 <1% 81 78 $699.24
99422 <1% 29 12 $647.86
36140 <1% 26 24 $480.94
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 68 45 $311.99
99223 Prolong inpt eval add15 m <1% 12 12 $117.74
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 43 39 $16.01
76942 0% 26 24 $0.00
2 more codes
99442 0% 36 $0.00
93925 0% 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.

From NPPES

Who's on the registration

Authorized officialKOOLWAL, HARISH (PHYSICIAN)