Ellis, Katherine

Ellis, Katherine was paid $180.98 by Medicaid between Oct 2019 and Oct 2019, across 2 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.

33Billing provider infoELLIS, KATHERINE
SUMMERVILLE, SC 29486

33aNPI1043706393assigned 07/10/2018

33bProvider typePediatric Nurse Practitioner

28Total paid$180.98

24GClaims32

24DCodes billed2

24AFirst – last monthOct 2019 – Oct 2019

Compared with peers

Next to other Pediatric Nurse Practitioner providers in South Carolina

Rank by total paid#38 of 39

Median peer was paid$7K

This provider vs. median0.0×

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
2019	32	$180.98

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	100%	17	17	$180.98
90686		0%	15	15	$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.