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

Koya, Komal

Koya, Komal was paid $336K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoKOYA, KOMAL
HINSDALE, IL 60521
33aNPI1932542602assigned 04/12/2013
33bProvider typeHospitalist Physician
28Total paid$336K
24GClaims5,716
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#7 of 514
Median peer was paid$19K
This provider vs. median18×

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$5.0K$10K2018201920202021202220232024
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
2018309$14K
2019566$25K
20201,206$59K
2021980$53K
2022960$65K
2023993$65K
2024incomplete702$54K
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 52% 3,675 2,750 $174K
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 25% 1,044 947 $83K
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 22% 915 858 $75K
99242 <1% 34 29 $2K
11900 <1% 35 27 $1K
99000 <1% 13 13 $304.98

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.