Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Heise, James

Heise, James was paid $898.56 by Medicaid between Jan 2022 and Jan 2022, across 2 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 69% of everything it billed.

33Billing provider infoHEISE, JAMES
STURGEON BAY, WI 54235
33aNPI1316934060assigned 09/27/2005
33bProvider typeHospitalist Physician
28Total paid$898.56
24GClaims24
24DCodes billed2
24AFirst – last monthJan 2022 – Jan 2022
Compared with peers

Next to other Hospitalist Physician providers in Wisconsin

Rank by total paid#31 of 35
Median peer was paid$14K
This provider vs. median0.1×

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$500$1.0K2018201920202021202220232024
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
202224$898.56
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69% 12 12 $621.84
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31% 12 12 $276.72

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.