Duncan, Kathyann

Duncan, Kathyann was paid $86K by Medicaid between Jan 2018 and Sep 2021, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoDUNCAN, KATHYANN
VAUXHALL, NJ 07088

33aNPI1215049630assigned 08/31/2006

33bProvider typeFamily Medicine Physician

28Total paid$86K

24GClaims3,235

24DCodes billed20

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#150 of 414

Median peer was paid$28K

This provider vs. median3.1×

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	1,273	$43K
2019	522	$13K
2020	766	$17K
2021	674	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	643	612	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	823	766	$31K
99402		18%	500	466	$16K
99401		1.3%	81	78	$1K
S9470	Nutritional counseling, dietitian visit	<1%	61	57	$597.50
36415	Collection of venous blood by venipuncture	<1%	357	355	$523.28
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	12	$413.44
81000		<1%	200	198	$229.86
36410		<1%	12	12	$167.88
92552		<1%	14	13	$152.52
96103		<1%	14	14	$103.33
99408		<1%	14	14	$66.48

8 more codes

G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	26	$62.83
G0444	Annual depression screening, 5 to 15 minutes	<1%	13	$30.69
99173		<1%	26	$2.21
3008F		<1%	280	$1.00
3074F		0%	87	$0.00
3080F		0%	14	$0.00
3078F		0%	43	$0.00
3077F		0%	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.