Physician
Ertle, Valerie
Ertle, Valerie was paid $7K by Medicaid between Sep 2020 and Apr 2021, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoERTLE, VALERIE
AUGUSTA, GA 30909
AUGUSTA, GA 30909
33aNPI1245619592assigned 05/20/2015
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims1,051
24DCodes billed17
24AFirst – last monthSep 2020 – Apr 2021
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#162 of 220
Median peer was paid$57K
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 | |
|---|---|---|---|
| 2020 | 421 | $2K | |
| 2021 | 630 | $5K |
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 | 91% | 63 | 59 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 38 | 37 | $630.00 |
| 3455F | 0% | 52 | 50 | $0.00 | |
| 81003 | 0% | 12 | 12 | $0.00 | |
| 1160F | 0% | 68 | 67 | $0.00 | |
| 1159F | 0% | 70 | 68 | $0.00 | |
| 3078F | 0% | 32 | 29 | $0.00 | |
| 99173 | 0% | 15 | 15 | $0.00 | |
| 82465 | 0% | 12 | 12 | $0.00 | |
| 3008F | 0% | 126 | 119 | $0.00 | |
| 2010F | 0% | 203 | 192 | $0.00 | |
| 2001F | 0% | 203 | 192 | $0.00 |
5 more codes
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.