Downey, Kathleen

Downey, Kathleen was paid $10K by Medicaid between Oct 2018 and Oct 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoDOWNEY, KATHLEEN
MILWAUKEE, WI 53204

33aNPI1306101365assigned 07/05/2012

33bProvider typePediatric Nurse Practitioner

28Total paid$10K

24GClaims574

24DCodes billed8

24AFirst – last monthOct 2018 – Oct 2023

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Wisconsin

Rank by total paid#8 of 16

Median peer was paid$10K

This provider vs. median1.0×

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	28	$92.68
2019	177	$4K
2020	67	$2K
2021	68	$1K
2022	182	$559.24
2023	52	$2K

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	89%	244	227	$9K
90686		6.9%	169	165	$698.12
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.7%	15	15	$372.12
3008F		0%	81	73	$0.00
92551		0%	18	16	$0.00
3074F		0%	15	14	$0.00
3078F		0%	15	14	$0.00
99173		0%	17	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.