Pavese, Heidi

Pavese, Heidi was paid $205K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoPAVESE, HEIDI
ROCK HILL, NY 12775

33aNPI1861681926assigned 10/15/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$205K

24GClaims3,661

24DCodes billed14

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#51 of 1,582

Median peer was paid$2K

This provider vs. median89×

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	150	$8K
2019	586	$27K
2020	610	$34K
2021	912	$67K
2022	973	$50K
2023	243	$13K
2024incomplete	187	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	1,609	1,533	$117K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	1,053	994	$69K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	3.2%	47	45	$7K
80050	General health panel	2.1%	111	111	$4K
80061	Lipid panel	1.3%	212	212	$3K
83036	Hemoglobin; glycosylated (A1C)	<1%	198	198	$2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	25	25	$2K
96127		<1%	188	185	$904.64
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	24	24	$550.00
90686		<1%	27	27	$354.75
86803		<1%	13	13	$185.51
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	13	$131.25

2 more codes

36415	Collection of venous blood by venipuncture	<1%	128	$48.00
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)	0%	13	$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.