Heinly, Allison

Heinly, Allison was paid $690K by Medicaid between Jul 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoHEINLY, ALLISON
PROVIDENCE, RI 02903

33aNPI1689967820assigned 05/20/2011

33bProvider typePediatrics Physician

28Total paid$690K

24GClaims9,036

24DCodes billed16

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#35 of 265

Median peer was paid$133K

This provider vs. median5.2×

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	459	$16K
2019	326	$17K
2020	590	$19K
2021	1,366	$81K
2022	2,419	$199K
2023	2,397	$221K
2024incomplete	1,479	$136K

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	48%	3,909	3,695	$330K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	1,543	1,482	$83K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.9%	514	504	$68K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.2%	469	431	$56K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.8%	346	327	$47K
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	5.4%	272	259	$37K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.8%	182	171	$26K
90461		3.4%	450	429	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.1%	509	486	$14K
90480		<1%	30	30	$1K
90472	Immunization administration, each additional vaccine (list separately)	<1%	44	42	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$659.58

4 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	43	$469.57
90686		<1%	665	$332.00
96127		<1%	28	$218.12
90670		<1%	19	$9.50

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.