Physician
Kushwaha, Kristin
Kushwaha, Kristin was paid $58K by Medicaid between Jan 2018 and May 2019, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoKUSHWAHA, KRISTIN
CLAYTON, NC 27520
CLAYTON, NC 27520
33aNPI1164764239assigned 03/26/2013
33bProvider typePediatrics Physician
28Total paid$58K
24GClaims2,102
24DCodes billed18
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#317 of 433
Median peer was paid$942K
This provider vs. median0.1×
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 | 1,446 | $42K | |
| 2019 | 656 | $15K |
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 | 18% | 266 | 256 | $10K |
| 99460 | 15% | 114 | 112 | $9K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 108 | 104 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.4% | 107 | 105 | $5K |
| 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 | 8.6% | 83 | 81 | $5K |
| 90723 | 7.9% | 168 | 168 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 67 | 67 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.0% | 238 | 232 | $3K |
| 99462 | 4.2% | 79 | 67 | $2K | |
| 99188 | 4.0% | 148 | 148 | $2K | |
| 90686 | 2.4% | 242 | 240 | $1K | |
| 90670 | 2.1% | 224 | 214 | $1K |
6 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 15 | $919.39 |
| 90647 | 1.3% | 131 | $737.89 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 62 | $590.60 |
| 90681 | <1% | 26 | $153.92 | |
| 90633 | <1% | 12 | $70.64 | |
| 90651 | <1% | 12 | $70.54 |
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.