Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Rochester › NPI 1831124619
Physician

O'gara, Kevin

O'gara, Kevin was paid $116K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoO'GARA, KEVIN
ROCHESTER, NY 14616
33aNPI1831124619assigned 07/11/2006
28Total paid$116K
24GClaims2,109
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in New York

Rank by total paid#6 of 19
Median peer was paid$4K
This provider vs. median29×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
201879$3K
201915$623.98
2021170$9K
2022389$21K
2023630$38K
2024incomplete826$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 1,070 964 $62K
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 35% 445 418 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 6.8% 167 166 $8K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.5% 94 93 $4K
99051 <1% 142 133 $943.61
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% 148 134 $396.90
92551 <1% 43 43 $276.92

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.