Physician
Kim, Michael
Kim, Michael was paid $411K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 51% of everything it billed.
33Billing provider infoKIM, MICHAEL
ANAHEIM, CA 92804
ANAHEIM, CA 92804
33aNPI1821229972assigned 08/06/2009
33bProvider typeGastroenterology Physician
28Total paid$411K
24GClaims2,539
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#93 of 363
Median peer was paid$55K
This provider vs. median7.5×
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 | 898 | $148K | |
| 2019 | 762 | $125K | |
| 2020 | 302 | $38K | |
| 2021 | 577 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 51% | 974 | 941 | $208K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 20% | 239 | 238 | $81K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 10% | 107 | 107 | $43K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.3% | 63 | 62 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 887 | 730 | $28K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 181 | 65 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 63 | 57 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | 25 | $3K |
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.