Physician
Daley, Hearther
Daley, Hearther was paid $124K by Medicaid between Nov 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoDALEY, HEARTHER
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1821065038assigned 03/07/2006
33bProvider typeObstetrics Physician
28Total paid$124K
24GClaims7,243
24DCodes billed8
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#15 of 33
Median peer was paid$106K
This provider vs. median1.2×
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 | 26 | $191.56 | |
| 2020 | 532 | $8K | |
| 2021 | 2,165 | $38K | |
| 2022 | 1,614 | $28K | |
| 2023 | 1,521 | $25K | |
| 2024incomplete | 1,385 | $25K |
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 | 65% | 2,540 | 1,564 | $81K |
| 99000 | 15% | 1,858 | 1,385 | $18K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.7% | 118 | 91 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 317 | 276 | $7K |
| 81002 | 5.1% | 2,367 | 1,212 | $6K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $597.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | 14 | $125.82 |
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.