Physician
Jason Halegoua, M.D., P.C.
Jason Halegoua, M.D., P.C. was paid $6K by Medicaid between Aug 2024 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoJASON HALEGOUA, M.D., P.C.
STONY BROOK, NY 11790
STONY BROOK, NY 11790
33aNPI1750619581assigned 12/07/2009
33bProvider typePediatrics Physician
28Total paid$6K
24GClaims229
24DCodes billed7
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#1,201 of 1,983
Median peer was paid$17K
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 | |
|---|---|---|---|
| 2024incomplete | 229 | $6K |
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% | 32 | 31 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 24% | 16 | 16 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 12% | 46 | 40 | $683.00 |
| 92551 | 6.9% | 44 | 44 | $405.10 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 19 | 19 | $389.24 |
| 96127 | 2.0% | 34 | 34 | $115.44 | |
| 99173 | 0% | 38 | 38 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialHALEGOUA, JASON (PRESIDENT)