Mertz, Laryn

Mertz, Laryn was paid $7K by Medicaid between Jul 2018 and Aug 2018, across 5 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 33% of everything it billed.

33Billing provider infoMERTZ, LARYN
DANVILLE, KY 40422

33aNPI1316466642assigned 09/19/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$7K

24GClaims281

24DCodes billed5

24AFirst – last monthJul 2018 – Aug 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#258 of 424

Median peer was paid$19K

This provider vs. median0.4×

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	281	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	33%	41	40	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	27%	44	44	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	20%	86	85	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	47	40	$1K
90633		<1%	63	62	$54.22

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.