Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $12.05 | 1 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| PFIZER INC. | $12.05 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2018 | $12.05 | 1 | PFIZER INC. ($12.05) |
All Payment Transactions
1 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/24/2018 | PFIZER INC. | CHANTIX (Drug), ELIQUIS | Food and Beverage | In-kind items and services | $12.05 | General |
| Category: NEUROSCIENCE;TOBACCO DEPENDENCE | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 349 | 702 | $89,786 | $39,099 |
| 2022 | 6 | 310 | 684 | $93,952 | $36,739 |
| 2021 | 7 | 369 | 864 | $129,083 | $50,797 |
| 2020 | 7 | 474 | 978 | $144,534 | $58,342 |
All Medicare Procedures & Services
25 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 120 | 359 | $26,925 | $13,401 | 49.8% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 96 | 208 | $28,496 | $12,579 | 44.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 70 | 72 | $14,688 | $5,927 | 40.4% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 28 | 28 | $10,612 | $3,747 | 35.3% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 35 | 35 | $9,065 | $3,445 | 38.0% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 119 | 337 | $46,695 | $18,055 | 38.7% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 68 | 216 | $16,200 | $6,408 | 39.6% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 60 | 62 | $12,710 | $4,816 | 37.9% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 32 | 32 | $8,312 | $3,240 | 39.0% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 14 | 14 | $5,436 | $2,499 | 46.0% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 17 | 23 | $4,599 | $1,721 | 37.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 184 | 615 | $85,485 | $33,381 | 39.0% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 63 | 63 | $12,978 | $5,037 | 38.8% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 28 | 63 | $12,600 | $4,850 | 38.5% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 15 | 15 | $5,835 | $2,721 | 46.6% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2021 | 44 | 73 | $5,475 | $2,092 | 38.2% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 15 | 15 | $3,930 | $1,611 | 41.0% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 20 | 20 | $2,780 | $1,106 | 39.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 221 | 662 | $92,018 | $36,898 | 40.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2020 | 83 | 85 | $17,510 | $7,059 | 40.3% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 35 | 35 | $9,170 | $3,832 | 41.8% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 29 | 42 | $8,400 | $3,478 | 41.4% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2020 | 57 | 105 | $7,875 | $3,169 | 40.2% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 38 | 38 | $5,282 | $2,161 | 40.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 11 | 11 | $4,279 | $1,745 | 40.8% |
About Dr. Karl Heinss, MD
Dr. Karl Heinss, MD is a Internal Medicine healthcare provider based in Corbin, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/28/2005. The National Provider Identifier (NPI) number assigned to this provider is 1992705362.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Karl Heinss, MD has received a total of $12.05 in payments from pharmaceutical and medical device companies, with $12.05 received in 2018. These payments were reported across 1 transactions from 1 company. The most common payment nature is "Food and Beverage" ($12.05).
As a Medicare-enrolled provider, Heinss has provided services to 1,502 Medicare beneficiaries, totaling 3,228 services with total Medicare billing of $184,977. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Location Corbin, KY
- Active Since 07/28/2005
- Last Updated 12/04/2020
- Taxonomy Code 207R00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1992705362
Products in Payments
- CHANTIX (Drug) $12.05
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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