NP / PA
Ketner, Kishimjan
Ketner, Kishimjan was paid $9K by Medicaid between Nov 2022 and Oct 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 54% of everything it billed.
33Billing provider infoKETNER, KISHIMJAN
INMAN, SC 29349
INMAN, SC 29349
33aNPI1033651526assigned 11/15/2016
33bProvider typePrimary Care Nurse Practitioner
28Total paid$9K
24GClaims551
24DCodes billed5
24AFirst – last monthNov 2022 – Oct 2024
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 | |
|---|---|---|---|
| 2022 | 148 | $3K | |
| 2023 | 316 | $5K | |
| 2024incomplete | 87 | $240.57 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 54% | 83 | 75 | $5K |
| 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 | 18% | 22 | 19 | $2K |
| 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 | 11% | 14 | 13 | $955.50 |
| 99441 | 9.1% | 101 | 100 | $773.72 | |
| 36415 | Collection of venous blood by venipuncture | 7.2% | 331 | 302 | $612.87 |
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.