Physician
Ernster, Mary
Ernster, Mary was paid $17K by Medicaid between Sep 2024 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoERNSTER, MARY
MADISON, WI 53717
MADISON, WI 53717
33aNPI1407434517assigned 03/30/2021
33bProvider typePediatrics Physician
28Total paid$17K
24GClaims491
24DCodes billed12
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#73 of 200
Median peer was paid$4K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2024incomplete | 491 | $17K |
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 | 25% | 73 | 70 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 52 | 42 | $4K |
| 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 | 17% | 33 | 32 | $3K |
| 90656 | 8.7% | 90 | 86 | $2K | |
| 96127 | 6.3% | 70 | 56 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 12 | 12 | $1K |
| 90677 | 3.5% | 36 | 32 | $601.56 | |
| 90647 | 3.3% | 34 | 31 | $569.31 | |
| 90723 | 3.1% | 32 | 28 | $534.72 | |
| 90651 | 3.0% | 31 | 26 | $518.01 | |
| 90680 | 1.6% | 16 | 13 | $267.36 | |
| 91321 | 1.2% | 12 | 12 | $200.52 |
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.