Foltz, Kathy

Foltz, Kathy was paid $1.49M by Medicaid between Nov 2020 and Apr 2024, across 7 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 77% of everything it billed.

33Billing provider infoFOLTZ, KATHY
ERIE, PA 16510

33aNPI1295917177assigned 12/03/2007

33bProvider typeNurse Practitioner

28Total paid$1.49M

24GClaims11,381

24DCodes billed7

24AFirst – last monthNov 2020 – Apr 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#3 of 372

Median peer was paid$7K

This provider vs. median217×

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	168	$15K
2021	2,159	$286K
2022	2,819	$398K
2023	5,417	$694K
2024incomplete	818	$98K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	77%	4,206	4,192	$1.14M
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	15%	4,137	3,428	$224K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	1,508	1,425	$58K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	2.3%	801	716	$34K
G9008	Coordinated care fee, physician coordinated care oversight services	1.9%	164	164	$28K
80305		<1%	522	478	$6K
96127		<1%	43	43	$181.88

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.