CARL HELLER, M.D.
Family Medicine Physician · KINGWOOD, TX
Individual Active NPI 1942225347
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 73 | 262 | $22,549 | $14,794 | $10,156 |
| 2023 | 97 | 399 | $47,503 | $23,702 | $17,360 |
| 2022 | 215 | 490 | $68,530 | $44,499 | $26,070 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 50 | $124 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $87 | $67 |
| 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 | 24 | $16 | $12 |
| G0444 | Annual depression screening, 5 to 15 minutes | 13 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | F8154 | TX |
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.