NP / PA
Kauffman, Thersa
Kauffman, Thersa was paid $65K by Medicaid between Jan 2018 and Jun 2019, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoKAUFFMAN, THERSA
CLINTON, IA 52732
CLINTON, IA 52732
33aNPI1861746927assigned 10/28/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$65K
24GClaims3,657
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Iowa
Rank by total paid#31 of 144
Median peer was paid$15K
This provider vs. median4.4×
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 | 2,048 | $37K | |
| 2019 | 1,609 | $28K |
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 | 60% | 805 | 759 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 389 | 370 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.6% | 336 | 328 | $3K |
| 80053 | Comprehensive metabolic panel | 3.5% | 182 | 178 | $2K |
| 36415 | Collection of venous blood by venipuncture | 2.6% | 647 | 603 | $2K |
| 90686 | 2.0% | 54 | 54 | $1K | |
| 81001 | 1.8% | 327 | 319 | $1K | |
| 80050 | General health panel | 1.6% | 28 | 26 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 180 | 177 | $916.08 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 51 | 51 | $706.84 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 33 | 23 | $657.11 |
| 80061 | Lipid panel | <1% | 12 | 12 | $179.94 |
8 more codes
| 87081 | <1% | 20 | $143.29 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $130.56 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $125.43 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $81.94 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 116 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 354 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 21 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 65 | $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.