Heltsley, Jana

Heltsley, Jana was paid $124K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 89% of everything it billed.

33Billing provider infoHELTSLEY, JANA
MATTOON, IL 61938

33aNPI1629458799assigned 06/04/2015

33bProvider typeNurse Practitioner

28Total paid$124K

24GClaims3,368

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#253 of 1,687

Median peer was paid$22K

This provider vs. median5.7×

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	366	$11K
2019	665	$17K
2020	351	$9K
2021	621	$23K
2022	462	$22K
2023	503	$23K
2024incomplete	400	$19K

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	89%	2,776	1,358	$111K
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	6.7%	218	199	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	348	196	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	26	14	$696.47

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.