Physician
Heaton, Gwendolyn
Heaton, Gwendolyn was paid $17K by Medicaid between Oct 2019 and Apr 2023, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 45% of everything it billed.
33Billing provider infoHEATON, GWENDOLYN
MADISON, IN 47250
MADISON, IN 47250
33aNPI1164478939assigned 05/25/2006
33bProvider typePsychiatry Physician
28Total paid$17K
24GClaims262
24DCodes billed3
24AFirst – last monthOct 2019 – Apr 2023
Compared with peers
Next to other Psychiatry Physician providers in Indiana
Rank by total paid#43 of 68
Median peer was paid$115K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 15 | $749.54 | |
| 2021 | 103 | $6K | |
| 2022 | 82 | $5K | |
| 2023 | 62 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 45% | 135 | 105 | $8K |
| 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 | 35% | 92 | 80 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 20% | 35 | 28 | $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.