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    OpenPayerNPI Medicare & MedicaidElliot Heller
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    Elliot Heller — Billing Profile & Reimbursement Data

    NPI 1043383789 · Pomona, NY · Gastroenterology Physician

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    Elliot Heller is a gastroenterology physician provider located in Pomona, New York. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationElliot Heller
    Address974 Route 45
    CityPomona
    StateNY
    ZIP10970
    TaxonomyGastroenterology Physician
    NPI EnumeratedNovember 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$149.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$440$30.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.90$310$29.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$310$28.7K
    99214The 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…210$110$22K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$400$15.7K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$290$9.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$410$5.8K
    99204The provider sees a new 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 provider…40$140$4.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$80$3.4K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.20$10$180

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453852661,10040$320$19.4K
    992148,39930,45090$100$19K
    453802101,22040$230$15K
    432393131,29050$180$14.2K
    9921321,73231,44080$70$12.1K
    G01059034020$300$11.8K
    G012120228020$340$11.3K
    4537823669020$230$8.3K
    992046,23914,17030$130$6.6K
    8102592020$10$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Fanyi KongNYAnatomic Pathology & Clinical Pathology Physician$577.7K$6.8K
    Stephen BharuchaNYGastroenterology Physician$71.3K$396.5K
    Richard CliftNYGastroenterology Physician$389.9K$0
    Herbert PasternakNYGastroenterology Physician$323.3K$0
    Joseph IlasiNYAnatomic Pathology & Clinical Pathology Physician$277.2K$0
    Nebras ZeizafounNYAnatomic Pathology & Clinical Pathology Physician$206.5K$70.3K
    Michael AntonyNYGastroenterology Physician$128.8K$132.8K
    Jeremy FrederickNYAnesthesiology Physician$15.1K$227.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward DesciakNYProcedural Dermatology Physician$1.1M$0
    Don ZwicklerNYEndocrinology, Diabetes & Metabolism Physician$490.2K$62.8K
    Hung ChoiNYSurgery Physician$493.5K$15.1K
    Michael SchwartzNYSurgery Physician$498.1K$200
    Richard GordonNYSpecialist$343.2K$0
    Scott BernsteinNYInternal Medicine Physician$339.5K$0
    Deborah RaiceNYEndocrinology, Diabetes & Metabolism Physician$319.3K$15.1K
    Carla Iudica-souzaNYEndocrinology, Diabetes & Metabolism Physician$186.4K$87.2K
    Andrew GoldenbergNYGastroenterology Physician$232.9K$0
    Barry LifschitzNYEndocrinology, Diabetes & Metabolism Physician$229.9K$140

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Elliot Heller — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York