Heckman, Matthew

Heckman, Matthew was paid $261K by Medicaid between Nov 2020 and Oct 2022, across 6 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 infoHECKMAN, MATTHEW
ELKLAND, PA 16920

33aNPI1669738654assigned 04/04/2012

33bProvider typeFamily Medicine Physician

28Total paid$261K

24GClaims3,100

24DCodes billed6

24AFirst – last monthNov 2020 – Oct 2022

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#279 of 2,756

Median peer was paid$19K

This provider vs. median14×

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	128	$8K
2021	1,638	$102K
2022	1,334	$151K

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%	1,732	1,198	$261K
81025		0%	13	13	$0.00
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	0%	13	12	$0.00
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	0%	420	339	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	906	661	$0.00
96127		0%	16	15	$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.