Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Sanford › NPI 1972522837
Physician

Paul M Heimbecker MD PA

Paul M Heimbecker MD PA was paid $80K by Medicaid between Feb 2018 and Jun 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoPAUL M HEIMBECKER MD PA
SANFORD, NC 27330
33aNPI1972522837assigned 07/19/2006
28Total paid$80K
24GClaims3,286
24DCodes billed7
24AFirst – last monthFeb 2018 – Jun 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#80 of 189
Median peer was paid$47K
This provider vs. median1.7×

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

$0$5.0K$10K2018201920202021202220232024
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
201849$1K
201933$1K
2020143$4K
20211,730$46K
2022806$15K
2023525$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70% 1,078 748 $56K
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 21% 263 181 $17K
81003 3.9% 1,473 1,017 $3K
81025 2.2% 296 234 $2K
76830 Ultrasound, transvaginal 1.4% 14 13 $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 1.3% 14 12 $1K
85018 <1% 148 100 $345.28

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 officialHEIMBECKER, DENISE (OFFICE MANAGER)