Abegglen, Heather

Abegglen, Heather was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoABEGGLEN, HEATHER
MONONGAHELA, PA 15063

33aNPI1598050569assigned 06/17/2011

33bProvider typePediatrics Physician

28Total paid$144K

24GClaims2,594

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#410 of 1,257

Median peer was paid$45K

This provider vs. median3.2×

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	436	$26K
2019	27	$910.00
2020	34	$3K
2021	333	$20K
2022	537	$30K
2023	717	$36K
2024incomplete	510	$29K

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	59%	1,076	1,053	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	765	753	$38K
99051		12%	556	542	$17K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	94	93	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$1K
87428		<1%	14	14	$333.62
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	24	12	$299.76
99177		<1%	12	12	$42.00
G9920	Screening performed and negative	0%	14	14	$0.00
92551		0%	27	27	$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.