Hofstetter, Katherene

Hofstetter, Katherene was paid $284K by Medicaid between Jan 2018 and Dec 2022, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoHOFSTETTER, KATHERENE
PROVIDENCE, RI 02903

33aNPI1518398320assigned 12/04/2013

33bProvider typeAdult Health Nurse Practitioner

28Total paid$284K

24GClaims6,317

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Rhode Island

Rank by total paid#4 of 49

Median peer was paid$27K

This provider vs. median10×

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	660	$25K
2019	245	$11K
2020	1,476	$58K
2021	1,929	$92K
2022	2,007	$99K

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	42%	2,043	1,851	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	2,630	2,325	$112K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	7.9%	410	377	$22K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.5%	157	153	$10K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	2.1%	87	50	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	176	158	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	361	347	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	54	50	$2K
0012A		<1%	56	55	$2K
87428		<1%	12	12	$763.08
81025		<1%	139	127	$641.04
0011A		<1%	30	30	$588.80

5 more codes

83036	Hemoglobin; glycosylated (A1C)	<1%	45	$268.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	$231.25
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$176.77
81002		<1%	65	$134.72
90674		<1%	27	$1.10

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.