Kresge, Duane

Kresge, Duane was paid $35K by Medicaid between Jan 2018 and Oct 2018, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoKRESGE, DUANE
MADISON HEIGHTS, VA 24572

33aNPI1104918887assigned 09/29/2006

33bProvider typePediatric Nurse Practitioner

28Total paid$35K

24GClaims1,261

24DCodes billed15

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Virginia

Rank by total paid#9 of 74

Median peer was paid$5K

This provider vs. median7.5×

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	1,261	$35K

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	44%	267	254	$15K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	19%	84	83	$7K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	67	65	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.5%	34	34	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.1%	31	31	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	2.8%	266	262	$972.45
90670		2.4%	50	50	$836.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	79	77	$623.59
90461		1.1%	140	138	$391.32
90648		1.1%	33	33	$363.08
90723		<1%	20	20	$274.37
96127		<1%	55	55	$245.98

3 more codes

90686	<1%	21	$243.61
99173	<1%	102	$240.87
90681	<1%	12	$221.90

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.