Riddle, Heather

Riddle, Heather was paid $192K by Medicaid between Jan 2021 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoRIDDLE, HEATHER
SMITHTOWN, NY 11787

33aNPI1295955508assigned 04/27/2007

33bProvider typePediatric Nurse Practitioner

28Total paid$192K

24GClaims5,824

24DCodes billed22

24AFirst – last monthJan 2021 – Dec 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in New York

Rank by total paid#6 of 91

Median peer was paid$2K

This provider vs. median89×

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
2021	189	$5K
2022	439	$22K
2023	2,017	$71K
2024incomplete	3,179	$93K

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	71%	2,072	1,173	$137K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	15%	424	379	$29K
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	8.1%	340	279	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.8%	63	63	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.2%	44	37	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	492	439	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	320	300	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	116	115	$993.20
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	40	35	$706.04
99441		<1%	632	501	$255.22
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	12	12	$204.49
90472	Immunization administration, each additional vaccine (list separately)	<1%	12	12	$185.70

10 more codes

97802		<1%	227	$163.44
99401		<1%	39	$114.60
99442		<1%	33	$67.16
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	14	$18.06
36415	Collection of venous blood by venipuncture	<1%	79	$15.88
81002		<1%	12	$10.92
94760		<1%	47	$9.40
A4927	Gloves, non-sterile, per 100	<1%	66	$0.20
A4928	Surgical mask, per 20	0%	34	$0.00
99000		0%	706	$0.00

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.