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NPI 1881008340 · Mount Vernon, IN · Family Medicine Physician
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Kathryn Lee-kalsch is a family medicine physician provider located in Mount Vernon, Indiana. This profile covers 13 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kathryn Lee-kalsch |
| Address | 1900 W 4th St |
| City | Mount Vernon |
| State | IN |
| ZIP | 47620 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 12, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $216.6K |
| Medicare | $32.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 390 | $50 | $20.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $120 | $5.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 190 | $10 | $1.5K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $90 | $1.4K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 40 | $30 | $1.3K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 20 | $60 | $910 |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 10 | $70 | $750 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 60 | $1 | $230 |
| J2010 | Injection, lincomycin hcl, up to 300 mg | 20 | $1 | $50 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 30 | $0 | $0 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0439 | 1,384 | 2,430 | 60 | $120 | $10.1K |
| 99213 | 824 | 10,820 | 80 | $50 | $7.6K |
| 99222 | 2,253 | 2,800 | 30 | $90 | $4.1K |
| 99203 | 3,350 | 3,490 | 30 | $70 | $3.1K |
| 99238 | 680 | 900 | 30 | $60 | $2.3K |
| 99231 | 574 | 1,340 | 40 | $40 | $2.3K |
| 96372 | 115 | 1,300 | 50 | $10 | $720 |
| J1040 | 109 | 320 | 30 | $10 | $610 |
| J2010 | 7 | 10 | 30 | $10 | $220 |
| J3420 | 138 | 250 | 60 | $1 | $80 |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 4,790 | $40 | $191.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 1,610 | $10 | $16.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 110 | $70 | $7.5K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 30 | $50 | $1.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 190 | $1 | $740 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 40 | $10 | $480 |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 30 | $10 | $320 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 50 | $10 | $240 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 20 | $0 | $0 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 50 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,670 | 2,120 | 870 | $60 | $450.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 573 | 2,380 | 920 | $50 | $376.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 690 | 890 | 160 | $60 | $76.8K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 218 | 240 | 400 | $20 | $53.5K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 541 | 660 | 530 | $10 | $47.2K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 229 | 330 | 650 | $10 | $38.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 101 | 490 | 300 | $20 | $22.8K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 63 | 90 | 230 | $10 | $2.5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 26 | 30 | 50 | $1 | $450 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 138 | 160 | 360 | $1 | $450 |
Showing 1–10 of 12
Other providers in the same ZIP code as Kathryn Lee-kalsch, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Posey County Auditor | IN | Land Ambulance | $343.7K | $948.8K |
| Matthew Lee | IN | Family Medicine Physician | $134.2K | $540.6K |
| Joseph Lee | IN | Internal Medicine Physician | $115.9K | $547.5K |
| Kyle Rapp | IN | Family Medicine Physician | $67.8K | $196.7K |
| James Rice | IN | Family Medicine Physician | $159.2K | $0 |
| Melody Oeth | IN | Family Nurse Practitioner | $32.7K | $89.2K |
| Gemma Lorna Mahinay | IN | Physical Therapist | $66.3K | $0 |
| Michael Constancio Mahinay | IN | Specialist | $58.4K | $0 |
| Megan Black | IN | Clinical Social Worker | $1.7K | $0 |
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