Heller, Michael

Heller, Michael was paid $6K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoHELLER, MICHAEL
BETHLEHEM, PA 18015

33aNPI1740254531assigned 02/16/2006

33bProvider typeEmergency Medicine Physician

28Total paid$6K

24GClaims189

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#818 of 1,211

Median peer was paid$19K

This provider vs. median0.3×

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	111	$5K
2019	66	$2K
2020	12	$253.18

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	47%	80	80	$3K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	40%	55	54	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	39	39	$841.64
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	15	14	$22.50

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.