Michael R. Heilig, M.D., PLLC
Michael R. Heilig, M.D., PLLC was paid $1.26M by Medicaid between Jan 2018 and May 2019, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoMICHAEL R. HEILIG, M.D., PLLC
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1417901695assigned 05/20/2006
33bProvider typePhysical Therapist
28Total paid$1.26M
24GClaims33,942
24DCodes billed28
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Physical Therapist providers in Kentucky
Rank by total paid#13 of 148
Median peer was paid$61K
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
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 | 24,276 | $901K | |
| 2019 | 9,666 | $361K |
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 | 22% | 11,053 | 9,772 | $281K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 2,855 | 2,639 | $215K |
| 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 | 17% | 5,139 | 4,671 | $214K |
| 20610 | 11% | 4,638 | 3,506 | $141K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 8.6% | 412 | 363 | $108K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 6.6% | 268 | 253 | $83K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 1,331 | 1,223 | $66K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 3.2% | 4,385 | 3,860 | $41K |
| 73221 | 1.5% | 69 | 64 | $19K | |
| 73560 | 1.1% | 1,211 | 919 | $14K | |
| 62323 | 1.1% | 102 | 91 | $14K | |
| 72100 | 1.1% | 796 | 716 | $13K |
16 more codes
| 64493 | 1.0% | 106 | $13K | |
| 64494 | <1% | 106 | $7K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 383 | $6K |
| 64495 | <1% | 98 | $6K | |
| 72040 | <1% | 257 | $4K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 49 | $4K |
| 72141 | <1% | 13 | $4K | |
| 73110 | <1% | 188 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 42 | $2K |
| 73630 | <1% | 108 | $1K | |
| 73030 | <1% | 75 | $1K | |
| 73610 | <1% | 69 | $911.49 | |
| 72114 | <1% | 32 | $722.89 | |
| 99406 | <1% | 96 | $578.22 | |
| 73130 | <1% | 48 | $572.48 | |
| 73564 | <1% | 13 | $287.64 |
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 officialHEILIG, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Heilig Orthopaedics, PLLC | Richmond, KY | $716K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.