Kerpsack, James

Kerpsack, James was paid $80K by Medicaid between May 2022 and Sep 2023, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.

33Billing provider infoKERPSACK, JAMES
WEST PALM BEACH, FL 33411

33aNPI1861499451assigned 06/28/2005

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$80K

24GClaims1,038

24DCodes billed11

24AFirst – last monthMay 2022 – Sep 2023

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in Florida

Rank by total paid#10 of 15

Median peer was paid$136K

This provider vs. median0.6×

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
2022	410	$29K
2023	628	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	36%	188	185	$28K
99244	Office or other outpatient consultation, moderate to high complexity	24%	224	179	$19K
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	19%	263	235	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	95	93	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	78	75	$3K
73110		1.6%	53	47	$1K
73130		1.4%	51	38	$1K
72100		1.1%	39	39	$893.24
73562		<1%	17	12	$430.44
73080		<1%	18	13	$400.20
72070		<1%	12	12	$284.92

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.