Hegarty, Kathleen

Hegarty, Kathleen was paid $277K by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.

33Billing provider infoHEGARTY, KATHLEEN
MAYWOOD, IL 60153

33aNPI1679689988assigned 08/21/2006

33bProvider typeSurgery Physician

28Total paid$277K

24GClaims4,521

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#8 of 422

Median peer was paid$5K

This provider vs. median55×

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	486	$17K
2019	596	$20K
2020	750	$40K
2021	863	$64K
2022	790	$60K
2023	733	$53K
2024incomplete	303	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	54%	1,738	1,578	$151K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	1,733	1,578	$90K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	1,005	900	$35K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	30	29	$701.80
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%	15	15	$525.19

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.