Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Rochester Hills › NPI 1265807531
NP / PA

Anderson, Heather

Anderson, Heather was paid $29K by Medicaid between Apr 2021 and Dec 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoANDERSON, HEATHER
ROCHESTER HILLS, MI 48307
33aNPI1265807531assigned 12/11/2015
28Total paid$29K
24GClaims809
24DCodes billed8
24AFirst – last monthApr 2021 – Dec 2022
Compared with peers

Next to other Advanced Practice Midwife providers in Michigan

Rank by total paid#4 of 8
Median peer was paid$13K
This provider vs. median2.2×

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

$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
202168$3K
2022741$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 258 236 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 99 97 $5K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 14% 146 139 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 11% 99 96 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3.1% 26 26 $899.91
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 15 15 $891.19
96127 <1% 109 103 $291.41
81002 <1% 57 52 $136.10

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.