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    OpenPayerNPI Medicare & MedicaidHeather Darmetko
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    Heather Darmetko — Billing Profile & Reimbursement Data

    NPI 1073935409 · Harrisonburg, VA · Family Nurse Practitioner

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    Heather Darmetko is a family nurse practitioner provider located in Harrisonburg, Virginia. This profile covers 9 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 Darmetko
    Address1951 Evelyn Byrd Ave Ste I
    CityHarrisonburg
    StateVA
    ZIP22801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 21, 2014

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

    Payer SourceTotal Paid
    Medicare$68K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…740$50$38.3K
    99484Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…530$30$13.3K
    99493A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…70$90$6.8K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…50$70$3.4K
    99492A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…20$100$2K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.70$20$1.4K
    95923In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…20$70$1.2K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral20$60$990
    95921The provider evaluates the function of the autonomic nervous system, which controls those body functions, such as heart rate, temperature regulation, and other functions that are involuntary. He uses…20$50$970

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    994931010120$100$21.6K
    9921339712,44090$60$10K
    99484520180$30$10K
    96132427070$100$7.6K
    95923233030$90$5.5K
    9949281040$100$5.3K
    95921162030$60$4.5K
    9392219325040$40$2.5K
    96138215050$30$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pain And Spine Specialists Of Maryland, LLCMDSpecialist$0$5.9M
    Nishant GandhiPAPain Medicine (Anesthesiology) Physician$387.9K$1M
    Marcia RibeiroMDNeurology Physician$904.2K$0
    Sudhir RaoMDPain Medicine (Anesthesiology) Physician$700.5K$89.4K
    Keerthi PrasadTXVascular & Interventional Radiology Physician$666.7K$0
    Suhas BadarinathMDPhysical Medicine & Rehabilitation Physician$534K$11.9K
    Greg HitesPAFamily Nurse Practitioner$112.3K$258.2K
    Timothy JonesSCFamily Nurse Practitioner$117K$191.8K
    Monish MerchantFLVascular & Interventional Radiology Physician$306.8K$120
    Greesh JohnMDPain Medicine (Anesthesiology) Physician$300.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Rmh Medical CenterVAGeneral Acute Care Hospital$0$52.9M
    Continuing Care Home Health Services IncVAHome Health Agency$0$15.3M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Metro Treatment Of Virginia LPVAMethadone Clinic$122.8K$7.8M
    Harrisonburg Community Health CenterVAFederally Qualified Health Center (FQHC)$0$7.7M
    Priority Patient Transport IncVAAmbulance$789.8K$5.2M
    Integrity Home Care LLCVAIn Home Supportive Care Agency$0$5.7M
    Christopher EllerVAOphthalmology Physician$1.7M$0
    Harrisonburg Rescue Squad IncorporatedVAAmbulance$542.5K$1M
    Rockingham Eye Surgery Center, LLCVAAmbulatory Surgical Clinic/Center$1.5M$0

    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. Virginia Distribution
    Heather Darmetko — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia