Kaczmarska, Barbara

Kaczmarska, Barbara was paid $98K by Medicaid between Jan 2018 and Aug 2019, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoKACZMARSKA, BARBARA
SHELBYVILLE, TN 37160

33aNPI1053318923assigned 07/07/2005

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$98K

24GClaims6,164

24DCodes billed17

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Tennessee

Rank by total paid#14 of 16

Median peer was paid$236K

This provider vs. median0.4×

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
2018	3,717	$60K
2019	2,447	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55%	1,053	809	$54K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	398	327	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	374	314	$12K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.7%	70	55	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.2%	391	333	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	33	27	$3K
96127		1.8%	456	357	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	345	272	$2K
92587		1.0%	467	374	$995.60
99174		<1%	204	166	$829.90
85018		<1%	669	538	$600.80
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	51	43	$540.50

5 more codes

81003	<1%	526	$438.17
96160	<1%	16	$37.52
85014	<1%	352	$23.04
36416	0%	674	$0.00
90686	0%	85	$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.