Stephen D. Heis, MD & Associates, INC

Stephen D. Heis, MD & Associates, INC was paid $37K by Medicaid between Jan 2018 and Mar 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoSTEPHEN D. HEIS, MD & ASSOCIATES, INC
CINCINNATI, OH 45230

33aNPI1396835708assigned 10/14/2006

33bProvider typeAcute Care Nurse Practitioner

28Total paid$37K

24GClaims1,485

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Acute Care Nurse Practitioner providers in Ohio

Rank by total paid#6 of 18

Median peer was paid$3K

This provider vs. median14×

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
2018	297	$5K
2019	31	$228.26
2020	217	$4K
2021	600	$14K
2022	296	$12K
2023	44	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	34%	281	246	$13K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	29%	698	182	$11K
95886		15%	191	180	$6K
99222	Initial hospital care, per day, moderate complexity	10.0%	100	70	$4K
64483		8.3%	85	82	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.4%	83	49	$892.19
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	14	13	$403.39
99239	Hospital discharge day management, more than 30 minutes	<1%	18	15	$294.55
80305		<1%	15	15	$80.80

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.

From NPPES

Who's on the registration

Authorized officialHEIS, STEPHEN (PRESIDENT)