DAVID HEFNER, D.O.
Family Medicine Physician · FAIRMONT, WV
Individual Active NPI 1013114610
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 210 | 423 | $60,827 | $24,149 | $17,021 |
| 2023 | 102 | 208 | $30,443 | $12,251 | $8,799 |
| 2022 | 168 | 370 | $53,487 | $22,317 | $18,070 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 145 | $83 | $58 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 40 | $16 | $16 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 28 | $105 | $43 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 | $117 | $87 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 23 | $41 | $41 |
| 81003 | Automated urinalysis test | 17 | $2 | $2 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 11 | $140 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 2341 | WV |
| Family Medicine Physician | 207Q00000X | OS015131 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.