Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202052$1K
2021155$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.