Heaton, Brian

Heaton, Brian was paid $24K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoHEATON, BRIAN
OGDEN, UT 84403

33aNPI1245248236assigned 08/04/2006

33bProvider typeUrology Physician

28Total paid$24K

24GClaims2,169

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in Utah

Rank by total paid#4 of 9

Median peer was paid$9K

This provider vs. median2.6×

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	103	$16.96
2019	296	$2K
2020	228	$2K
2021	396	$5K
2022	526	$7K
2023	439	$8K
2024incomplete	181	$627.47

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	250	196	$13K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	25%	83	69	$6K
81000		21%	1,572	1,263	$5K
51798		1.8%	264	211	$434.29

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.