Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Jasper › NPI 1841610755
Physician

Heron Emergency Physicians PLLC

Heron Emergency Physicians PLLC was paid $927K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.

33Billing provider infoHERON EMERGENCY PHYSICIANS PLLC
JASPER, TN 37347
33aNPI1841610755assigned 04/17/2014
28Total paid$927K
24GClaims18,273
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#25 of 332
Median peer was paid$56K
This provider vs. median16×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KONDAS, KATHLEEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,207$103K
20191,475$64K
20201,202$57K
20215,673$289K
20226,124$323K
20231,592$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 38% 6,632 5,994 $351K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 37% 5,291 4,534 $341K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 6,350 5,894 $236K

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 officialKONDAS, KATHLEEN (OFFICER)
Same official

Other billing entities under KONDAS, KATHLEEN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.