Physician

Sheela Kerstetter

According to 2025 Medicare claims, Sheela Kerstetter (NPI: 1932235686) practices dermatology in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is ALLEGHENY ADVANCED DERMATOLOGY LLC (NPI: 1811671092; TIN: 92-3843529) and primary practice location at 16602-4508.

Kerstetter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 756 traditional Medicare patients, billed 14,057 HCPCS/CPT codes, and received $194,845 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 1,555 prescription claims across 701 beneficiaries totaling $321,281 in drug costs, led by Otezla (Apremilast). Open Payments data shows 29 records totaling $612. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $105,945 and ending at $194,845. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $119,502 to $321,281. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$97K$195K2015 Medicare payment: $105,945 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $89,211 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $76,455 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $99,626 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $114,065 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $113,567 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $116,577 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $122,125 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $84,002 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $194,845 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155832,585$105,945
20165492,227$89,211
20174961,723$76,455
20186222,318$99,626
20197312,610$114,065
20206892,546$113,567
20216812,400$116,577
20226892,307$122,125
20234812,833$84,002
202475614,057$194,845

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$214K$427K2015 Drug cost: $119,502 (USD; Tot_Drug_Cst)2016 Drug cost: $211,755 (USD; Tot_Drug_Cst)2017 Drug cost: $235,535 (USD; Tot_Drug_Cst)2018 Drug cost: $125,488 (USD; Tot_Drug_Cst)2019 Drug cost: $141,095 (USD; Tot_Drug_Cst)2020 Drug cost: $157,489 (USD; Tot_Drug_Cst)2021 Drug cost: $166,872 (USD; Tot_Drug_Cst)2022 Drug cost: $257,301 (USD; Tot_Drug_Cst)2023 Drug cost: $427,266 (USD; Tot_Drug_Cst)2024 Drug cost: $321,281 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015342717$119,502
2016398806$211,755
2017359731$235,535
2018372780$125,488
2019400814$141,095
2020436943$157,489
2021383852$166,872
2022366813$257,301
2023390784$427,266
20247011,555$321,281

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more377377$61
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more346490$61
11102Biopsy of related skin growth, first growth263312$59
17000Destruction of precancer skin growth, 1 growth307426$35
17003Destruction of precancer skin growth, 2-14 growths2291,004$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OtezlaApremilast12360$58,122
Dupixent PenDupilumab13350$51,263
Clobetasol PropionateClobetasol Propionate2045,636$7,330
KetoconazoleKetoconazole2927,974$5,756
Triamcinolone AcetonideTriamcinolone Acetonide3169,306$3,573

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.29$612GENZYME CORPORATION
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Sheela Kerstetter?

Tedicare shows public-source Medicare data for Sheela Kerstetter (NPI 1932235686), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Sheela Kerstetter have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sheela Kerstetter?

Sheela Kerstetter is linked to ALLEGHENY ADVANCED DERMATOLOGY LLC (billing NPI 1811671092) in the available physician profile data.

Does Sheela Kerstetter have Open Payments data?

Sheela Kerstetter has 29 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.