Koto, Vernon

Koto, Vernon was paid $287K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 47% of everything it billed.

33Billing provider infoKOTO, VERNON
HOOPESTON, IL 60942

33aNPI1902843733assigned 06/01/2006

33bProvider typeEmergency Medicine Physician

28Total paid$287K

24GClaims6,201

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#481 of 1,980

Median peer was paid$150K

This provider vs. median1.9×

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	908	$29K
2019	1,051	$37K
2020	912	$39K
2021	919	$53K
2022	914	$47K
2023	873	$46K
2024incomplete	624	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	47%	3,789	3,441	$135K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	1,743	1,578	$100K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	18%	653	582	$51K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	16	16	$361.70

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.