Physician
Kerstetter, Sheela
Kerstetter, Sheela was paid $109K by Medicaid between Nov 2020 and Aug 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoKERSTETTER, SHEELA
ALTOONA, PA 16602
ALTOONA, PA 16602
33aNPI1932235686assigned 02/26/2007
33bProvider typeDermatology Physician
28Total paid$109K
24GClaims2,727
24DCodes billed8
24AFirst – last monthNov 2020 – Aug 2023
Compared with peers
Next to other Dermatology Physician providers in Pennsylvania
Rank by total paid#23 of 97
Median peer was paid$26K
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 | 53 | $2K | |
| 2021 | 968 | $39K | |
| 2022 | 1,078 | $44K | |
| 2023 | 628 | $23K |
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 | 47% | 1,430 | 1,411 | $51K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 516 | 514 | $28K |
| 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 | 12% | 238 | 236 | $13K |
| 99243 | 5.1% | 67 | 67 | $6K | |
| 11102 | 4.6% | 154 | 154 | $5K | |
| 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 | 3.4% | 42 | 42 | $4K |
| 17110 | 1.6% | 35 | 33 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 245 | 232 | $21.64 |
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.