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NPI 1023377736 · Shiloh, IL · Urology Physician
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Paul Kogan is a urology physician provider located in Shiloh, Illinois. This profile covers 16 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Kogan |
| Address | 1418 Cross St |
| City | Shiloh |
| State | IL |
| ZIP | 62269 |
| Taxonomy | Urology Physician |
| NPI Enumerated | May 15, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $77.9K |
| Medicaid | $1.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 260 | $100 | $24.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 140 | $120 | $15.5K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 50 | $180 | $8.3K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 20 | $360 | $7.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 90 | $50 | $4.9K |
| 55706 | The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide… | 10 | $310 | $4.3K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $110 | $3.6K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $110 | $1.8K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 20 | $70 | $1.5K |
| 51700 | Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter. These medications are usually anti–inflammatory agents used to treat infection or… | 30 | $40 | $1.2K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 4,769 | 18,540 | 110 | $80 | $17.1K |
| 52000 | 232 | 310 | 80 | $160 | $15.8K |
| 52356 | 49 | 140 | 20 | $500 | $10.9K |
| 55706 | 2 | 10 | 30 | $310 | $10.4K |
| 99213 | 7,507 | 17,390 | 70 | $60 | $8.8K |
| 99204 | 476 | 8,580 | 30 | $110 | $5.6K |
| 99222 | 4,355 | 5,730 | 30 | $100 | $5.3K |
| 52332 | 44 | 200 | 20 | $160 | $4.6K |
| 99231 | 1,300 | 2,140 | 40 | $40 | $2.8K |
| 99442 | 1,108 | 1,210 | 20 | $60 | $2.3K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 30 | $40 | $1.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 30 | $20 | $580 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 12,787 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 12,486 | 14,190 | 280 | $20 | $38.9K |
Other providers in the same ZIP code as Paul Kogan, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $7.9M |
| Ssm Cardinal Glennon Childrens Hospital | IL | Pediatrics Physician | $0 | $5.4M |
| Bassam Maalouf | IL | Hematology & Oncology Physician | $1.8M | $770.9K |
| Justin Floyd | IL | Medical Oncology Physician | $1.3M | $336.2K |
| Mark Walshauser | IL | Hematology & Oncology Physician | $437.5K | $395.5K |
| O'fallon Surgical Center, LLC | IL | Ambulatory Surgical Clinic/Center | $793.7K | $0 |
| Scott Roustio | IL | Emergency Medicine Physician | $83.8K | $625.5K |
| Michael Stock | IL | Ophthalmology Physician | $669.2K | $0 |
| Raghav Govindarajan | IL | Neuromuscular Medicine (Psychiatry & Neurology) Physician | $377.7K | $282.1K |
| Patrick Win | IL | Allergy & Immunology Physician | $597.5K | $0 |
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