Heinle, Michael

Heinle, Michael was paid $5K by Medicaid between Dec 2020 and Jan 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoHEINLE, MICHAEL
BEAVER, PA 15009

33aNPI1154343556assigned 07/24/2006

33bProvider typeInternal Medicine Physician

28Total paid$5K

24GClaims476

24DCodes billed5

24AFirst – last monthDec 2020 – Jan 2024

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#934 of 1,726

Median peer was paid$6K

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
2020	44	$1K
2021	163	$3K
2022	243	$1K
2024incomplete	26	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	59%	70	68	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	75	72	$2K
3074F		0%	141	133	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	12	12	$0.00
3078F		0%	178	170	$0.00

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.