Heffington, Charles

Heffington, Charles was paid $59K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoHEFFINGTON, CHARLES
HOHENWALD, TN 38462

33aNPI1033271622assigned 12/14/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$59K

24GClaims4,554

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#30 of 75

Median peer was paid$42K

This provider vs. median1.4×

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	1,421	$15K
2019	1,244	$17K
2020	778	$12K
2021	510	$7K
2022	433	$6K
2023	168	$3K

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	69%	2,651	1,690	$41K
20610		23%	1,083	645	$13K
20553		7.1%	527	404	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	154	129	$320.07
20552		<1%	97	38	$197.04
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	<1%	15	12	$194.93
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	27	17	$9.36

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.