Physician
Felton, Heather
Felton, Heather was paid $63K by Medicaid between Jan 2018 and Feb 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoFELTON, HEATHER
LOUISVILLE, KY 40217
LOUISVILLE, KY 40217
33aNPI1083938534assigned 03/25/2010
33bProvider typePediatrics Physician
28Total paid$63K
24GClaims2,921
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#67 of 156
Median peer was paid$41K
This provider vs. median1.5×
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 | 694 | $8K | |
| 2019 | 1,987 | $49K | |
| 2020 | 240 | $6K |
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 | 25% | 365 | 360 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 133 | 133 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 711 | 710 | $9K |
| 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 | 13% | 121 | 119 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 100 | 100 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.4% | 73 | 73 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.2% | 386 | 383 | $5K |
| 90670 | 1.1% | 105 | 105 | $674.10 | |
| 90698 | <1% | 85 | 85 | $460.00 | |
| 90474 | <1% | 50 | 50 | $321.92 | |
| 90633 | <1% | 15 | 15 | $257.60 | |
| 90680 | <1% | 52 | 51 | $235.52 |
5 more codes
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.