Physician
Hefner, David
Hefner, David was paid $59K by Medicaid between Sep 2021 and Nov 2024, across 9 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 37% of everything it billed.
33Billing provider infoHEFNER, DAVID
EDEN PRAIRIE, MN 55346
EDEN PRAIRIE, MN 55346
33aNPI1013114610assigned 06/28/2007
33bProvider typeFamily Medicine Physician
28Total paid$59K
24GClaims1,484
24DCodes billed9
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#68 of 126
Median peer was paid$73K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 17 | $483.00 | |
| 2023 | 506 | $20K | |
| 2024incomplete | 961 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 37% | 654 | 645 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 335 | 330 | $17K |
| 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 | 21% | 195 | 188 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.0% | 103 | 98 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 31 | 31 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 100 | 98 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | 36 | $365.38 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 13 | $336.20 |
| 81003 | <1% | 14 | 14 | $33.15 |
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.