Physician
Foley, Heidi
Foley, Heidi was paid $76K by Medicaid between Jan 2018 and Apr 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoFOLEY, HEIDI
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1801981493assigned 10/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$76K
24GClaims1,666
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#168 of 744
Median peer was paid$10K
This provider vs. median7.2×
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 | 49 | $2K | |
| 2019 | 33 | $2K | |
| 2020 | 18 | $1K | |
| 2022 | 134 | $23K | |
| 2023 | 987 | $38K | |
| 2024incomplete | 445 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 983 | 817 | $66K |
| 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 | 7.8% | 88 | 65 | $6K |
| H0049 | Alcohol and/or drug screening | 4.1% | 276 | 271 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | 87 | $346.37 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | 18 | $264.86 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 17 | 17 | $109.88 |
| 96127 | <1% | 189 | 187 | $63.74 |
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.