Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DEBRA KETTLESON INC

NPI: 1134525546 · HILO, HI 96720 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 11/12/2014

$8K
Total Medicaid Paid
1,139
Total Claims
1,040
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialKETTLESON, DEBRA (OWNER/PROVIDER)
NPI Enumeration Date11/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,139 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 335 298 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 160 143 $4K
G9275 Documentation that patient is a current non-tobacco user 151 140 $1.80
3079F 70 64 $0.00
3074F 121 113 $0.00
3075F 16 16 $0.00
3725F 197 182 $0.00
3078F 89 84 $0.00