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
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
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 | 309 | $14K | |
| 2019 | 566 | $25K | |
| 2020 | 1,206 | $59K | |
| 2021 | 980 | $53K | |
| 2022 | 960 | $65K | |
| 2023 | 993 | $65K | |
| 2024incomplete | 702 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.