Physician
Theis, Kali
Theis, Kali was paid $452K by Medicaid between Dec 2020 and Mar 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoTHEIS, KALI
LATROBE, PA 15650
LATROBE, PA 15650
33aNPI1003348210assigned 03/28/2017
33bProvider typePediatrics Physician
28Total paid$452K
24GClaims9,603
24DCodes billed28
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#212 of 1,257
Median peer was paid$45K
This provider vs. median10.0×
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 | |
|---|---|---|---|
| 2020 | 61 | $5K | |
| 2021 | 1,592 | $86K | |
| 2022 | 2,729 | $134K | |
| 2023 | 4,433 | $195K | |
| 2024incomplete | 788 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 2,514 | 2,369 | $194K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,268 | 2,165 | $112K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 526 | 525 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 469 | 464 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 227 | 227 | $19K |
| 99051 | 3.9% | 628 | 622 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 472 | 462 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 68 | 68 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 350 | 173 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 107 | 105 | $4K |
| 87428 | <1% | 87 | 87 | $3K | |
| 90648 | <1% | 238 | 232 | $586.00 |
16 more codes
| 90670 | <1% | 174 | $572.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $379.50 |
| 90680 | <1% | 27 | $180.00 | |
| 90723 | <1% | 57 | $176.00 | |
| 96127 | <1% | 184 | $118.80 | |
| 92551 | <1% | 204 | $110.40 | |
| 96160 | <1% | 183 | $103.39 | |
| 99177 | <1% | 143 | $94.86 | |
| 90686 | <1% | 101 | $55.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 135 | $43.12 |
| 85018 | <1% | 14 | $7.44 | |
| 96161 | 0% | 164 | $0.00 | |
| 90677 | 0% | 61 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| G9920 | Screening performed and negative | 0% | 164 | $0.00 |
| 90633 | 0% | 13 | $0.00 |
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.