Physician
Heselton, Matthew
Heselton, Matthew was paid $488K by Medicaid between Sep 2022 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHESELTON, MATTHEW
MOUNT MORRIS, PA 15349
MOUNT MORRIS, PA 15349
33aNPI1972064657assigned 03/26/2019
33bProvider typeFamily Medicine Physician
28Total paid$488K
24GClaims6,319
24DCodes billed20
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#135 of 2,756
Median peer was paid$19K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2022 | 895 | $65K | |
| 2023 | 2,122 | $245K | |
| 2024incomplete | 3,302 | $178K |
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 | 100% | 2,269 | 2,048 | $488K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 625 | 576 | $156.00 |
| 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 | <1% | 965 | 918 | $30.40 |
| 3074F | <1% | 305 | 281 | $0.02 | |
| 1159F | 0% | 487 | 447 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 44 | 43 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 74 | 73 | $0.00 |
| 3078F | 0% | 272 | 252 | $0.00 | |
| 99173 | 0% | 69 | 69 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | 13 | $0.00 |
| 4004F | 0% | 25 | 24 | $0.00 | |
| 1111F | 0% | 151 | 145 | $0.00 |
8 more codes
| 3008F | 0% | 365 | $0.00 | |
| 92551 | 0% | 69 | $0.00 | |
| 2001F | 0% | 370 | $0.00 | |
| 3079F | 0% | 105 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 43 | $0.00 |
| 3075F | 0% | 41 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 15 | $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.