Physician
Netkowicz, Kristy
Netkowicz, Kristy was paid $1.75M by Medicaid between Feb 2020 and Nov 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoNETKOWICZ, KRISTY
NORTH EAST, PA 16428
NORTH EAST, PA 16428
33aNPI1033523030assigned 06/17/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.75M
24GClaims63,664
24DCodes billed42
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#37 of 2,756
Median peer was paid$19K
This provider vs. median91×
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 | 1,531 | $44K | |
| 2021 | 20,207 | $537K | |
| 2022 | 16,559 | $529K | |
| 2023 | 25,030 | $623K | |
| 2024incomplete | 337 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 11,394 | 10,780 | $1.73M |
| 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% | 5,994 | 5,748 | $7K |
| 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 | <1% | 1,271 | 1,244 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | 14 | $410.52 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,117 | 1,072 | $228.55 |
| 92551 | <1% | 86 | 86 | $75.22 | |
| 99173 | <1% | 69 | 69 | $55.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 379 | 378 | $39.00 |
| 3078F | 0% | 3,891 | 3,749 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 124 | 124 | $0.00 |
| 3077F | 0% | 980 | 954 | $0.00 | |
| 3028F | 0% | 3,725 | 3,547 | $0.00 |
30 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 665 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 168 | $0.00 |
| 99490 | Ccm add 20min | 0% | 237 | $0.00 |
| 3725F | 0% | 321 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 53 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 73 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 14 | $0.00 |
| 90734 | 0% | 26 | $0.00 | |
| 2001F | 0% | 7,947 | $0.00 | |
| 2000F | 0% | 6,991 | $0.00 | |
| 3075F | 0% | 1,545 | $0.00 | |
| 3079F | 0% | 2,472 | $0.00 | |
| 1111F | 0% | 74 | $0.00 | |
| 3074F | 0% | 4,295 | $0.00 | |
| 3044F | 0% | 82 | $0.00 | |
| 3008F | 0% | 7,678 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 824 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 49 | $0.00 |
| 3035F | 0% | 316 | $0.00 | |
| 4010F | 0% | 15 | $0.00 | |
| D9994 | 0% | 194 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 99 | $0.00 |
| 3080F | 0% | 322 | $0.00 | |
| 4000F | 0% | 78 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 3353F | 0% | 15 | $0.00 | |
| 3352F | 0% | 14 | $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.