Kostelac, Jaclyn
Kostelac, Jaclyn was paid $394K by Medicaid between Aug 2019 and Dec 2024, across 3 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 99% of everything it billed.
33Billing provider infoKOSTELAC, JACLYN
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
33aNPI1861874349assigned 06/22/2015
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$394K
24GClaims1,739
24DCodes billed3
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#4 of 102
Median peer was paid$7K
This provider vs. median58×
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 | |
|---|---|---|---|
| 2019 | 45 | $11K | |
| 2020 | 741 | $166K | |
| 2021 | 481 | $113K | |
| 2022 | 315 | $74K | |
| 2023 | 27 | $6K | |
| 2024incomplete | 130 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 99% | 1,674 | 1,640 | $388K |
| D8680 | 1.0% | 27 | 24 | $4K | |
| D8999 | <1% | 38 | 38 | $2K |
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.