Physician
Erdman, Kenneth
Erdman, Kenneth was paid $81K by Medicaid between Nov 2020 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoERDMAN, KENNETH
MIFFLINTOWN, PA 17059
MIFFLINTOWN, PA 17059
33aNPI1639118797assigned 06/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$81K
24GClaims2,449
24DCodes billed13
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#715 of 2,756
Median peer was paid$19K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 49 | $2K | |
| 2021 | 515 | $17K | |
| 2022 | 732 | $25K | |
| 2023 | 722 | $21K | |
| 2024incomplete | 431 | $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 | 66% | 1,544 | 1,364 | $54K |
| 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 | 26% | 410 | 402 | $21K |
| 80061 | Lipid panel | 2.4% | 140 | 136 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 47 | 44 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.2% | 40 | 40 | $964.04 |
| 0012A | <1% | 13 | 13 | $489.69 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 79 | 77 | $483.00 |
| 84439 | <1% | 37 | 37 | $317.70 | |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | 17 | $187.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | 12 | $112.31 |
| 99490 | Ccm add 20min | <1% | 38 | 38 | $28.34 |
| G9920 | Screening performed and negative | 0% | 50 | 50 | $0.00 |
1 more codes
| 91301 | 0% | 22 | $0.00 |
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.