Physician
Heerman, William
Heerman, William was paid $20K by Medicaid between Sep 2018 and Oct 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoHEERMAN, WILLIAM
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1598938060assigned 04/07/2008
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$20K
24GClaims549
24DCodes billed8
24AFirst – last monthSep 2018 – Oct 2020
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Tennessee
Rank by total paid#12 of 15
Median peer was paid$70K
This provider vs. median0.3×
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 | 46 | $2K | |
| 2019 | 243 | $9K | |
| 2020 | 260 | $8K |
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 | 75% | 349 | 335 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.2% | 59 | 56 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 16 | 16 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 14 | 13 | $952.72 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 12 | 12 | $832.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 60 | 58 | $574.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | 12 | $159.49 |
| 90686 | 0% | 27 | 26 | $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.