Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Jackson › NPI 1730162876
Physician

Hoeldtke, Nathan

Hoeldtke, Nathan was paid $187K by Medicaid between Jan 2019 and Aug 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoHOELDTKE, NATHAN
JACKSON, TN 38301
33aNPI1730162876assigned 11/22/2005
28Total paid$187K
24GClaims3,188
24DCodes billed13
24AFirst – last monthJan 2019 – Aug 2019
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Tennessee

Rank by total paid#8 of 12
Median peer was paid$251K
This provider vs. median0.7×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20193,188$187K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 903 586 $48K
76819 Fetal biophysical profile; without non-stress testing 20% 673 376 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 20% 430 387 $38K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12% 201 184 $23K
76820 8.1% 478 233 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.5% 131 118 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5.0% 193 149 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 29 24 $2K
76825 <1% 12 12 $1K
99243 <1% 19 15 $1K
76801 <1% 14 12 $1K
93325 <1% 13 13 $465.66
1 more codes
36415 Collection of venous blood by venipuncture <1% 92 $98.55

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.