Hedges, Jonathan

Hedges, Jonathan was paid $63K by Medicaid between Aug 2018 and Jul 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoHEDGES, JONATHAN
ANCHORAGE, AK 99508

33aNPI1184001042assigned 04/29/2015

33bProvider typePediatrics Physician

28Total paid$63K

24GClaims1,204

24DCodes billed7

24AFirst – last monthAug 2018 – Jul 2021

Compared with peers

Next to other Pediatrics Physician providers in Alaska

Rank by total paid#14 of 20

Median peer was paid$106K

This provider vs. median0.6×

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
2018	164	$11K
2019	514	$30K
2020	454	$18K
2021	72	$3K

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	91%	757	711	$57K
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	4.8%	28	27	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.9%	12	12	$1K
90686		1.4%	106	106	$904.74
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	186	186	$565.91
90472	Immunization administration, each additional vaccine (list separately)	<1%	57	57	$157.90
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	58	28	$118.94

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.