Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › HI › Hilo › NPI 1306886585
Physician

Heaster, John

Heaster, John was paid $1.81M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 59% of everything it billed.

33Billing provider infoHEASTER, JOHN
HILO, HI 96720
33aNPI1306886585assigned 06/07/2006
33bProvider typePsychiatry Physician
28Total paid$1.81M
24GClaims11,103
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Psychiatry Physician providers in Hawaii

Rank by total paid#1 of 40
Median peer was paid$86K
This provider vs. median21×

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$20K$40K$60K2018201920202021202220232024
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
20183,016$420K
20192,899$337K
20201,060$217K
20211,136$243K
20221,040$202K
20231,033$208K
2024incomplete919$179K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59% 5,298 4,789 $1.07M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 2,728 2,464 $380K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 20% 3,064 2,740 $352K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 13 12 $2K

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.