NP / PA
Faller, Heidi
Faller, Heidi was paid $6K by Medicaid between Dec 2020 and Mar 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoFALLER, HEIDI
CLARION, PA 16214
CLARION, PA 16214
33aNPI1154888683assigned 02/20/2019
33bProvider typeNurse Practitioner
28Total paid$6K
24GClaims207
24DCodes billed7
24AFirst – last monthDec 2020 – Mar 2021
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#204 of 372
Median peer was paid$7K
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 | 52 | $1K | |
| 2021 | 155 | $4K |
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 | 70% | 112 | 103 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 25% | 16 | 16 | $1K |
| 90670 | 3.2% | 16 | 16 | $176.00 | |
| 90680 | 2.4% | 12 | 12 | $132.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 14 | 14 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 22 | 16 | $0.00 |
| 96161 | 0% | 15 | 15 | $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.