Hedges, Don

Hedges, Don was paid $13K by Medicaid between Dec 2020 and Nov 2021, across 5 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 23% of everything it billed.

33Billing provider infoHEDGES, DON
ALBUQUERQUE, NM 87107

33aNPI1386803864assigned 06/09/2008

33bProvider typeAdult Medicine Physician

28Total paid$13K

24GClaims364

24DCodes billed5

24AFirst – last monthDec 2020 – Nov 2021

Compared with peers

Next to other Adult Medicine Physician providers in New Mexico

Rank by total paid#4 of 6

Median peer was paid$13K

This provider vs. median1.0×

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
2020	21	$2K
2021	343	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	23%	167	148	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	22%	59	55	$3K
86328		20%	56	52	$3K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	19%	61	56	$2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	15%	21	16	$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.