Physician
Hegedus, Justin
Hegedus, Justin was paid $81K by Medicaid between Jul 2022 and Aug 2024, across 6 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 35% of everything it billed.
33Billing provider infoHEGEDUS, JUSTIN
LIGONIER, PA 15658
LIGONIER, PA 15658
33aNPI1467947465assigned 06/22/2018
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$81K
24GClaims5,342
24DCodes billed6
24AFirst – last monthJul 2022 – Aug 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania
Rank by total paid#26 of 148
Median peer was paid$8K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2022 | 968 | $10K | |
| 2023 | 2,646 | $42K | |
| 2024incomplete | 1,728 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 35% | 1,402 | 471 | $28K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 26% | 1,237 | 432 | $21K |
| 97010 | 21% | 1,277 | 379 | $17K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 9.5% | 1,005 | 365 | $8K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 7.0% | 269 | 103 | $6K |
| 97014 | 2.5% | 152 | 36 | $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.