Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ralph Heaven (NPI 1023056280)

Field	Value
Entity Type	Individual
Organization	Ralph Heaven
Address	1100 N 19th St
City	Abilene
State	TX
ZIP	79601
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$810.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	12,200	$40	$524.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	720	$90	$63.3K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	40	$1,110	$41K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	240	$100	$23.7K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	7,190	$1	$14.4K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	60	$140	$7.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	960	$10	$7.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	160	$50	$7.6K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	20	$350	$7.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	710	$10	$7.1K

Showing 1–10 of 67

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 67 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Ralph Heaven — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

67 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	84	230	10,700	$40	$516.5K
J3490	327	350	60	$480	$54.4K
78815	319	600	40	$460	$47.5K
J0881	123	170	8,930	$1	$28.1K
J1454	91	100	50	$340	$22.6K
96413	239	810	150	$100	$19.7K
J9217	226	270	110	$130	$18.4K
99233	8,659	9,320	100	$90	$17.9K
99214	1,766	32,500	110	$80	$17.6K
99232	7,044	11,790	100	$60	$15.8K

Showing 1–10 of 67

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ralph Heaven, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aqeel Khan	IL	Psychiatry Physician	$2.2M	$3.5M
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0
Sreedevi Daggubati	TX	Hematology & Oncology Physician	$2.8M	$0
Sunil Patel	TX	Ophthalmology Physician	$2.6M	$0
Mark Levitan	TX	Ophthalmology Physician	$2.5M	$0
Jason Bradley	TX	Interventional Cardiology Physician	$2.1M	$0
Charles Clark	TX	Ophthalmology Physician	$2.1M	$0
Colbert Perez	TX	Interventional Cardiology Physician	$2M	$0
Eric Zavaleta	TX	Ophthalmology Physician	$1.9M	$0
Naga Bushan	TX	Rheumatology Physician	$1.9M	$0

Nearby Providers

Other providers in the same ZIP code as Ralph Heaven, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendrick Medical Center	TX	General Acute Care Hospital	$0	$22.9M
Abilene White Rock Surgery Center, LLC	TX	Pain Clinic/Center	$2M	$0
Texas Midwest Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.2M	$589K
Anton Melnyk	TX	Hematology & Oncology Physician	$1.4M	$0
Williams Trotter & Associates	TX	Clinical Medical Laboratory	$165.3K	$564.4K
Brent Mahoney	TX	Radiation Oncology Physician	$481.2K	$0
Abilene Asc LP	TX	Ambulatory Surgical Clinic/Center	$415.6K	$0
Frederick White	TX	Endocrinology, Diabetes & Metabolism Physician	$399K	$0
John Bliznak	TX	Diagnostic Radiology Physician	$385.3K	$0
Bonnie Hayashi	TX	Neurology Physician	$369.5K	$0

Ralph Heaven — Billing Profile & Reimbursement Data

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Ralph Heaven — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References