Physician
Heritage Parkway Medical PLLC
Heritage Parkway Medical PLLC was paid $57K by Medicaid between Jan 2021 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoHERITAGE PARKWAY MEDICAL PLLC
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1770140550assigned 05/28/2019
33bProvider typeFamily Medicine Physician
28Total paid$57K
24GClaims2,844
24DCodes billed5
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#506 of 1,204
Median peer was paid$31K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 684 | $9K | |
| 2022 | 891 | $16K | |
| 2023 | 890 | $23K | |
| 2024incomplete | 379 | $9K |
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 | 71% | 2,116 | 1,599 | $41K |
| 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 | 26% | 623 | 460 | $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 | 2.1% | 30 | 28 | $1K |
| 99000 | <1% | 38 | 32 | $258.44 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 37 | 27 | $46.92 |
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 officialJOSE, NIDISH (CEO)