Physician
Hedgemon, Helen
Hedgemon, Helen was paid $104K by Medicaid between Jan 2018 and Aug 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoHEDGEMON, HELEN
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
33aNPI1487681359assigned 06/27/2006
33bProvider typePediatrics Physician
28Total paid$104K
24GClaims3,164
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#157 of 230
Median peer was paid$429K
This provider vs. median0.2×
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 | 2,441 | $81K | |
| 2019 | 723 | $23K |
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 | 35% | 773 | 677 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 201 | 200 | $14K |
| 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 | 13% | 199 | 191 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 187 | 185 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.2% | 528 | 518 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 100 | 99 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 266 | 263 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 114 | 113 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 42 | 41 | $2K |
| 99173 | <1% | 446 | 444 | $876.04 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 33 | 27 | $319.84 |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 32 | 27 | $141.05 |
9 more codes
| 85018 | <1% | 44 | $103.84 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 32 | $54.56 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 31 | $0.00 |
| 90670 | 0% | 25 | $0.00 | |
| 90649 | 0% | 12 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90686 | 0% | 62 | $0.00 |
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.