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

Kim Chen PLLC

Kim Chen PLLC was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 14% of everything it billed.

33Billing provider infoKIM CHEN PLLC
LAS VEGAS, NV 89113
33aNPI1881078418assigned 07/14/2015
28Total paid$2.42M
24GClaims33,930
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Nevada

Rank by total paid#2 of 48
Median peer was paid$40K
This provider vs. median61×

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$25K$50K$75K2018201920202021202220232024
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
2018875$39K
20194,898$449K
20205,178$431K
20219,105$529K
20227,218$382K
20235,009$432K
2024incomplete1,647$158K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14% 4,033 3,635 $340K
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 14% 3,182 2,906 $334K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13% 1,868 1,733 $315K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 3,593 3,414 $300K
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 10% 3,439 3,136 $253K
99223 Prolong inpt eval add15 m 9.5% 2,351 2,015 $230K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.1% 4,096 3,866 $220K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 8.1% 1,066 1,015 $197K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.8% 3,672 1,756 $164K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 110 99 $24K
46221 <1% 114 104 $19K
99205 Prolong outpt/office vis <1% 55 53 $9K
9 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 154 $6K
99215 Doctor's office visit, returning patient (complex) <1% 42 $4K
43235 <1% 30 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 28 $2K
99406 <1% 87 $323.36
99439 <1% 21 $33.39
99070 <1% 12 $31.00
99490 Ccm add 20min <1% 21 $5.96
99072 0% 5,956 $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 officialCHEN, GARY (MANAGING PARTNER)
Same official

Other billing entities under CHEN, GARY

Full network →
ProviderLocationPaid
Gary Chen MD INCLos Angeles, CA$12.21M
Gary Chen Medical PCBrooklyn, NY$2.35M
A C Urgent Care INCAnaheim, CA$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.