Heller, Warren
Heller, Warren was paid $583K by Medicaid between Jan 2018 and Jul 2020, across 19 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 28% of everything it billed.
33Billing provider infoHELLER, WARREN
PHOENIX, AZ 85003
PHOENIX, AZ 85003
33aNPI1255314191assigned 11/23/2005
33bProvider typeSpecialist
28Total paid$583K
24GClaims14,882
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#52 of 179
Median peer was paid$112K
This provider vs. median5.2×
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 | 7,650 | $339K | |
| 2019 | 6,989 | $234K | |
| 2020 | 243 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 4,388 | 3,350 | $165K |
| 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 | 20% | 1,780 | 1,538 | $119K |
| 68761 | 14% | 2,488 | 745 | $81K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 12% | 273 | 218 | $70K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 1,042 | 960 | $64K |
| 92083 | 2.6% | 661 | 556 | $15K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.3% | 267 | 181 | $13K |
| 92134 | 2.0% | 722 | 618 | $11K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 259 | 177 | $10K |
| 76519 | 1.6% | 487 | 351 | $9K | |
| 66821 | 1.4% | 88 | 56 | $8K | |
| 92133 | 1.2% | 546 | 472 | $7K |
7 more codes
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.