Physician
Case, Kenneth
Case, Kenneth was paid $15K by Medicaid between Jul 2018 and Nov 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoCASE, KENNETH
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1861485039assigned 08/23/2005
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims444
24DCodes billed2
24AFirst – last monthJul 2018 – Nov 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#465 of 754
Median peer was paid$34K
This provider vs. median0.4×
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 | 51 | $2K | |
| 2019 | 289 | $11K | |
| 2020 | 104 | $3K |
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 | 59% | 245 | 200 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 199 | 162 | $6K |
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.