Kevin T Heaton DO PC
Kevin T Heaton DO PC was paid $15K by Medicaid between Jun 2018 and May 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoKEVIN T HEATON DO PC
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
33aNPI1073733671assigned 04/26/2007
33bProvider typeSpecialist
28Total paid$15K
24GClaims281
24DCodes billed4
24AFirst – last monthJun 2018 – May 2024
Compared with peers
Next to other Specialist providers in Oregon
Rank by total paid#53 of 85
Median peer was paid$36K
This provider vs. median0.4×
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 | 64 | $3K | |
| 2019 | 16 | $578.10 | |
| 2020 | 101 | $6K | |
| 2021 | 72 | $4K | |
| 2023 | 16 | $1K | |
| 2024incomplete | 12 | $957.10 |
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 | 80% | 238 | 195 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 13 | 12 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.7% | 18 | 15 | $1K |
| 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 | 6.3% | 12 | 12 | $957.10 |
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.
From NPPES
Who's on the registration
Authorized officialGANSBERG, JEANNETTE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Klamath Orthopedic Clinic PC | Klamath Falls, OR | $485K |
| Karl R Knudsen MD PC | Klamath Falls, OR | $95K |
| Edward L Van Tassel DO PC | Klamath Falls, OR | $82K |
| Michael J Casey MD PC | Klamath Falls, OR | $2K |
| Karl C Wenner MD PC | Klamath Falls, OR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.