Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Rock Hill › NPI 1205233038

Heffner Gibson, Lori

Heffner Gibson, Lori was paid $12K by Medicaid between Dec 2020 and Nov 2022, across 2 billing codes. Its largest line is 99350, Prolong home eval add 15m — 55% of everything it billed.

33Billing provider infoHEFFNER GIBSON, LORI
ROCK HILL, SC 29732
33aNPI1205233038assigned 11/21/2014
33bProvider typeMidwife
28Total paid$12K
24GClaims127
24DCodes billed2
24AFirst – last monthDec 2020 – Nov 2022
Compared with peers

Next to other Midwife providers in South Carolina

Rank by total paid#3 of 5
Median peer was paid$12K
This provider vs. median1.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202037$4K
202126$3K
202264$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99350 Prolong home eval add 15m 55% 63 27 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 45% 64 39 $6K

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.