Kertz, Lila

Kertz, Lila was paid $84K by Medicaid between Jan 2018 and Mar 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoKERTZ, LILA
SAINT LOUIS, MO 63110

33aNPI1497771638assigned 07/14/2006

33bProvider typePediatric Nurse Practitioner

28Total paid$84K

24GClaims1,056

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Missouri

Rank by total paid#38 of 212

Median peer was paid$13K

This provider vs. median6.6×

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	525	$41K
2019	430	$35K
2020	101	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	97%	974	949	$82K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	44	44	$2K
90686		<1%	38	38	$188.79

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.