Physician
Hennessey, Theresa
Hennessey, Theresa was paid $861.85 by Medicaid between Apr 2019 and Jan 2020, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoHENNESSEY, THERESA
SALT LAKE CITY, UT 84103
SALT LAKE CITY, UT 84103
33aNPI1699826693assigned 01/16/2007
33bProvider typePediatric Orthopaedic Surgery Physician
28Total paid$861.85
24GClaims45
24DCodes billed1
24AFirst – last monthApr 2019 – Jan 2020
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 | |
|---|---|---|---|
| 2019 | 32 | $732.01 | |
| 2020 | 13 | $129.84 |
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 | 100% | 45 | 37 | $861.85 |
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.