Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

James Heinsimer MD PC

James Heinsimer MD PC was paid $19K by Medicaid between Feb 2018 and Sep 2024, across 2 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 83% of everything it billed.

33Billing provider infoJAMES HEINSIMER MD PC
ROYAL OAK, MI 48073
33aNPI1124214952assigned 09/14/2007
28Total paid$19K
24GClaims1,229
24DCodes billed2
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Michigan

Rank by total paid#91 of 134
Median peer was paid$91K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018187$3K
2019317$5K
2020141$2K
2021155$2K
2022192$3K
2023161$3K
2024incomplete76$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 83% 421 417 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17% 808 570 $3K

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 officialHEINSIMER, JAMES (OWNER)