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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Mikaela Heard (NPI 1073894754)

Field	Value
Entity Type	Individual
Organization	Mikaela Heard
Address	2484 Ingleside Ave
City	Macon
State	GA
ZIP	31204
Taxonomy	Mental Health Counselor
NPI Enumerated	September 8, 2011

Payer Source	Total Paid
Medicaid	$442.1K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,550	$100	$437.1K
H0032	Mental health service plan development by non-physician	20	$160	$3.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$90	$1.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Mikaela Heard — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	68	880	410	$90	$148.7K
H0032	Mental health service plan development by non-physician	48	70	70	$90	$96.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	197	240	50	$80	$20.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Bell Vaughn	GA	Internal Medicine Physician	$1.4M	$0
The Medical Center Of Central Georgia Inc	GA	Land Ambulance	$1.3M	$0
Ace Medical Transport LLC.	GA	Land Ambulance	$854.8K	$0
Agape Medical Transport Inc	GA	Land Ambulance	$422.9K	$0
New Horizon Primary Care, LLC	GA	Internal Medicine Physician	$0	$407.1K
Maria Bartlett	GA	Specialist	$202.3K	$0
Juan Esnard	GA	Specialist	$151.6K	$0
Steven Lako	GA	Podiatrist	$125.4K	$0
Ge Ye	GA	Foot & Ankle Surgery Podiatrist	$120.7K	$0
Riverside Imaging Specialists, LLC	GA	Magnetic Resonance Imaging (MRI) Clinic/Center	$117.7K	$0

Mikaela Heard — Billing Profile & Reimbursement Data

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Mikaela Heard — Billing Profile & Reimbursement Data

Sign up for Mikaela Heard — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References