NP / PA
Calhoun, Heather
Calhoun, Heather was paid $134K by Medicaid between Oct 2020 and Sep 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCALHOUN, HEATHER
BROOKVILLE, PA 15825
BROOKVILLE, PA 15825
33aNPI1649303041assigned 03/14/2007
33bProvider typeMedical Physician Assistant
28Total paid$134K
24GClaims14,862
24DCodes billed22
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers
Next to other Medical Physician Assistant providers in Pennsylvania
Rank by total paid#19 of 282
Median peer was paid$6K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2020 | 328 | $5K | |
| 2021 | 2,877 | $29K | |
| 2022 | 3,936 | $35K | |
| 2023 | 5,198 | $41K | |
| 2024incomplete | 2,523 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,112 | 1,943 | $134K |
| 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% | 548 | 537 | $20.00 |
| 3725F | 0% | 1,442 | 1,342 | $0.00 | |
| 1159F | 0% | 2,007 | 1,858 | $0.00 | |
| 1160F | 0% | 1,962 | 1,816 | $0.00 | |
| 3078F | 0% | 819 | 781 | $0.00 | |
| 4013F | 0% | 106 | 102 | $0.00 | |
| 3077F | 0% | 40 | 40 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 28 | 28 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 30 | 27 | $0.00 |
| 3079F | 0% | 564 | 533 | $0.00 | |
| 3074F | 0% | 1,099 | 1,037 | $0.00 |
10 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,217 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 761 | $0.00 |
| 3075F | 0% | 138 | $0.00 | |
| 3008F | 0% | 1,785 | $0.00 | |
| 3011F | 0% | 106 | $0.00 | |
| 1111F | 0% | 14 | $0.00 | |
| 3048F | 0% | 44 | $0.00 | |
| 3044F | 0% | 16 | $0.00 | |
| 1220F | 0% | 12 | $0.00 | |
| 3080F | 0% | 12 | $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.