Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $568.64 | 5 | 98.5% |
| Education | $8.44 | 1 | 1.5% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| ACADIA Pharmaceuticals Inc | $395.80 | 4 | $0 (2023) |
| Novartis Pharmaceuticals Corporation | $106.47 | 1 | $0 (2018) |
| ABBVIE INC. | $74.81 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $470.61 | 5 | ACADIA Pharmaceuticals Inc ($395.80) |
| 2018 | $106.47 | 1 | Novartis Pharmaceuticals Corporation ($106.47) |
All Payment Transactions
6 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 06/21/2023 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $74.81 | General |
| Category: NEUROSCIENCE | ||||||
| 05/04/2023 | ACADIA Pharmaceuticals Inc | NUPLAZID (Drug) | Food and Beverage | In-kind items and services | $150.64 | General |
| Category: PARKINSONS DISEASE PSYCHOSIS | ||||||
| 05/04/2023 | ACADIA Pharmaceuticals Inc | NUPLAZID (Drug) | Food and Beverage | In-kind items and services | $118.36 | General |
| Category: PARKINSONS DISEASE PSYCHOSIS | ||||||
| 05/04/2023 | ACADIA Pharmaceuticals Inc | NUPLAZID (Drug) | Food and Beverage | In-kind items and services | $118.36 | General |
| Category: PARKINSONS DISEASE PSYCHOSIS | ||||||
| 05/04/2023 | ACADIA Pharmaceuticals Inc | NUPLAZID (Drug) | Education | In-kind items and services | $8.44 | General |
| Category: PARKINSONS DISEASE PSYCHOSIS | ||||||
| 09/12/2018 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $106.47 | General |
| Category: CARDIOVASCULAR | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 236 | 349 | $56,742 | $30,076 |
| 2022 | 5 | 282 | 432 | $66,258 | $31,964 |
| 2021 | 9 | 368 | 637 | $99,835 | $51,897 |
| 2020 | 7 | 334 | 505 | $76,219 | $39,264 |
All Medicare Procedures & Services
26 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 72 | 138 | $14,766 | $8,477 | 57.4% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 41 | 85 | $13,175 | $7,902 | 60.0% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 51 | 52 | $15,652 | $6,906 | 44.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 41 | 43 | $6,794 | $3,805 | 56.0% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 31 | 31 | $6,355 | $2,986 | 47.0% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 67 | 135 | $20,925 | $10,024 | 47.9% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 93 | 174 | $18,618 | $8,756 | 47.0% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 45 | 45 | $13,545 | $6,625 | 48.9% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 59 | 60 | $9,480 | $4,754 | 50.1% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 18 | 18 | $3,690 | $1,805 | 48.9% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 83 | 235 | $36,425 | $19,147 | 52.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 94 | 207 | $22,149 | $11,664 | 52.7% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 61 | 63 | $18,963 | $9,371 | 49.4% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 57 | 59 | $9,322 | $4,893 | 52.5% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 19 | 19 | $3,895 | $1,898 | 48.7% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2021 | 12 | 12 | $3,300 | $1,588 | 48.1% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Facility | 2021 | 13 | 13 | $2,509 | $1,419 | 56.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 14 | 14 | $1,652 | $1,062 | 64.3% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 15 | 15 | $1,620 | $854.85 | 52.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 109 | 246 | $26,754 | $13,759 | 51.4% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 59 | 60 | $18,172 | $9,031 | 49.7% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 51 | 83 | $12,865 | $6,856 | 53.3% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2020 | 65 | 66 | $10,494 | $5,530 | 52.7% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 26 | 26 | $5,330 | $2,709 | 50.8% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 13 | 13 | $1,410 | $762.30 | 54.1% |
About Dr. Kenneth Heberling, MD
Dr. Kenneth Heberling, MD is a Specialist healthcare provider based in Edgewood, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/26/2005. The National Provider Identifier (NPI) number assigned to this provider is 1669465423.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Kenneth Heberling, MD has received a total of $577.08 in payments from pharmaceutical and medical device companies, with $470.61 received in 2023. These payments were reported across 6 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($568.64).
As a Medicare-enrolled provider, Heberling has provided services to 1,220 Medicare beneficiaries, totaling 1,923 services with total Medicare billing of $153,201. Data is available for 4 years (2020–2023), covering 26 distinct procedure/service records.
Practice Information
- Specialty Specialist
- Other Specialties Internal Medicine, Internal Medicine
- Location Edgewood, KY
- Active Since 08/26/2005
- Last Updated 05/03/2012
- Taxonomy Code 174400000X
- Entity Type Individual
- NPI Number 1669465423
Products in Payments
- NUPLAZID (Drug) $395.80
- ENTRESTO (Drug) $106.47
- VRAYLAR (Drug) $74.81
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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