Hefty, Matthew

Hefty, Matthew was paid $4K by Medicaid between Aug 2021 and Aug 2022, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 91% of everything it billed.

33Billing provider infoHEFTY, MATTHEW
DIXON, IL 61021

33aNPI1154633618assigned 07/12/2010

33bProvider typeSurgery Physician

28Total paid$4K

24GClaims100

24DCodes billed2

24AFirst – last monthAug 2021 – Aug 2022

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#232 of 422

Median peer was paid$5K

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
2021	33	$1K
2022	67	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	91%	88	88	$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	9.3%	12	12	$353.11

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.