Ketelaar, Matthew

Ketelaar, Matthew was paid $9K by Medicaid between Jan 2018 and Nov 2022, across 6 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 31% of everything it billed.

33Billing provider infoKETELAAR, MATTHEW
DAVENPORT, IA 52807

33aNPI1336109180assigned 03/24/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$9K

24GClaims612

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Diagnostic Radiology Physician providers in Iowa

Rank by total paid#28 of 47

Median peer was paid$12K

This provider vs. median0.8×

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	156	$4K
2019	216	$2K
2020	148	$1K
2021	56	$1K
2022	36	$748.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74177	Computed tomography, abdomen and pelvis; with contrast material	31%	36	36	$3K
71046	Radiologic examination, chest; 2 views	20%	367	331	$2K
77067	Screening mammography, bilateral, including computer-aided detection	19%	75	73	$2K
77063	Screening digital breast tomosynthesis, bilateral	14%	75	73	$1K
70450	Computed tomography, head or brain; without contrast material	13%	13	13	$1K
71045	Radiologic examination, chest; single view	2.5%	46	26	$225.74

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.