Kim, Peter

Kim, Peter was paid $19K by Medicaid between Mar 2019 and Feb 2023, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 55% of everything it billed.

33Billing provider infoKIM, PETER
HIGHLAND, IL 62249

33aNPI1942250030assigned 05/11/2006

33bProvider typeGastroenterology Physician

28Total paid$19K

24GClaims188

24DCodes billed6

24AFirst – last monthMar 2019 – Feb 2023

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#172 of 370

Median peer was paid$16K

This provider vs. median1.2×

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	56	$7K
2020	53	$4K
2021	25	$544.86
2022	38	$5K
2023	16	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	55%	67	67	$11K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	19%	16	14	$4K
43235		12%	13	13	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.9%	64	51	$2K
99222	Initial hospital care, per day, moderate complexity	2.9%	15	15	$570.54
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	13	12	$306.60

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.