Heller, Jon
Heller, Jon was paid $974K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 22% of everything it billed.
33Billing provider infoHELLER, JON
TOTOWA, NJ 07512
TOTOWA, NJ 07512
33aNPI1548294663assigned 07/11/2006
33bProvider typePodiatrist
28Total paid$974K
24GClaims19,335
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in New Jersey
Rank by total paid#6 of 194
Median peer was paid$17K
This provider vs. median57×
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 | 3,435 | $154K | |
| 2019 | 3,119 | $132K | |
| 2020 | 1,264 | $77K | |
| 2021 | 2,766 | $160K | |
| 2022 | 3,607 | $198K | |
| 2023 | 2,968 | $156K | |
| 2024incomplete | 2,176 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 22% | 2,786 | 2,529 | $213K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,497 | 2,325 | $158K |
| 97597 | 13% | 2,699 | 2,440 | $127K | |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 12% | 461 | 227 | $115K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 1,214 | 1,185 | $105K |
| 73630 | 9.5% | 3,478 | 2,004 | $93K | |
| 11721 | 6.8% | 2,980 | 2,803 | $66K | |
| 73600 | 6.2% | 2,309 | 1,220 | $60K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 636 | 547 | $19K |
| 29425 | 1.2% | 204 | 145 | $11K | |
| 11308 | <1% | 58 | 29 | $6K | |
| 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 | <1% | 13 | 13 | $1K |
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.