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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Wark
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    Heather Wark — Billing Profile & Reimbursement Data

    NPI 1063422749 · Northampton, MA · Internal Medicine Physician

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    Heather Wark is a internal medicine physician provider located in Northampton, Massachusetts. This profile covers 8 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
    OrganizationHeather Wark
    Address548 Elm St
    CityNorthampton
    StateMA
    ZIP01060
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicare$70.9K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…180$120$22.1K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…210$80$15.6K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…100$140$14.8K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…130$60$7.5K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…310$20$7.4K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.20$110$1.9K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…30$30$930
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…10$40$600

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309502840300$80$37.8K
    99308430750170$50$20.5K
    9930614537080$140$17.9K
    9931011651080$110$15.4K
    9931622128040$90$5.7K
    9930715824050$30$3.8K
    G031714050$20$1.8K
    G018079592030$40$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physician Group Of Utah IncUTSpecialist$0$2.8M
    Andrew ColesUTInterventional Pain Medicine Physician$389.6K$120.9K
    Joseph FyansUTPhysical Medicine & Rehabilitation Physician$276.2K$0
    Jesse TwuUTNurse Practitioner$252.5K$0
    Jason CrookUTNurse Practitioner$177.8K$0
    Jeremy AndersonNVPodiatrist$137.5K$0
    Grant HawkinsUTInternal Medicine Physician$136.7K$0
    Stephen KirkUTSports Medicine (Family Medicine) Physician$131K$0
    Michael HoffmanUTOrthopaedic Surgery Physician$127.4K$0
    Mohammad ShoariUTNeurology Physician$119.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$204.8M
    Nonotuck Resource Associates, IncMAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$154.6M
    Department Of Mental HealthMACommunity/Behavioral Health Agency$0$153M
    Cooley Dickinson Hospital IncMAGeneral Acute Care Hospital$0$34.9M
    Servicenet IncMAEarly Intervention Provider Agency$0$10M
    Servicenet IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Mass General Brigham Medical Group Western Massachusetts IncMAFamily Medicine Physician$0$8M
    City Of NorthamptonMALand Ambulance$831.4K$2.7M
    Shields Pet Ct At Cooley Dickinson Hospital LLCMAMobile Radiology Clinic/Center$685K$6.7K
    Steven WeinsierMACardiovascular Disease Physician$338.5K$400

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Heather Wark — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts