Physician
Heron, Kyle
Heron, Kyle was paid $273K by Medicaid between Jun 2019 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoHERON, KYLE
MODESTO, CA 95356
MODESTO, CA 95356
33aNPI1912918962assigned 08/11/2006
33bProvider typeInterventional Pain Medicine Physician
28Total paid$273K
24GClaims6,703
24DCodes billed11
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in California
Rank by total paid#12 of 47
Median peer was paid$9K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2019 | 402 | $22K | |
| 2020 | 1,402 | $82K | |
| 2021 | 1,531 | $51K | |
| 2022 | 1,216 | $33K | |
| 2023 | 1,119 | $42K | |
| 2024incomplete | 1,033 | $43K |
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 | 41% | 3,161 | 3,084 | $112K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,483 | 2,415 | $59K |
| 27096 | 15% | 155 | 126 | $41K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.6% | 542 | 521 | $26K |
| 99245 | 8.1% | 166 | 166 | $22K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 108 | 108 | $7K |
| 64490 | 1.1% | 19 | 12 | $3K | |
| 64491 | <1% | 19 | 12 | $758.88 | |
| 64492 | <1% | 19 | 12 | $633.27 | |
| 20610 | <1% | 17 | 13 | $266.50 | |
| 62370 | <1% | 14 | 14 | $251.02 |
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.