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    OpenPayerNPI Medicare & MedicaidAustin Heneman
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    Austin Heneman — Billing Profile & Reimbursement Data

    NPI 1093191777 · Roseville, MN · Physician Assistant

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    Austin Heneman is a physician assistant provider located in Roseville, Minnesota. This profile covers 7 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
    OrganizationAustin Heneman
    Address2720 Fairview Ave N Ste 200
    CityRoseville
    StateMN
    ZIP55113
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 5, 2015

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

    Payer SourceTotal Paid
    Medicare$96.6K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$80$61.8K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…120$150$17.8K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.160$60$9.5K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…10$200$2.5K
    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…20$100$2.1K
    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…30$50$1.6K
    95972A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted spinal or peripheral (e.g., sacral) nerve neurostimulator…30$30$880

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0482233050$190$18.8K
    G0481197060$150$15.1K
    80307167080$60$10.3K
    992142310,10070$80$8.1K
    992135,7499,12050$50$4K
    992041,8473,34020$110$3.6K
    9597271030$40$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew J Will Md PAMNPhysical Medicine & Rehabilitation Physician$0$5.1M
    Twin Cities Surgery Center, PAMNAmbulatory Surgical Clinic/Center$1.9M$127.8K
    Mohiba TareenMNDermatology Physician$1.9M$0
    Burnsville Surgery Center, P.A.MNAmbulatory Surgical Clinic/Center$1.8M$0
    David LindenbergCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.3M$320
    Michael CampoliMNMOHS-Micrographic Surgery Physician$490K$0
    Phillip EckerMNDermatology Physician$446.2K$0
    Andrew VirataWIAnatomic Pathology & Clinical Pathology Physician$330.7K$0
    Nicole TherrienMNDermatopathology (Pathology) Physician$312.2K$0
    Scott TuttleMNDermatology Physician$253.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Home Respiratory Services LLCMNDurable Medical Equipment & Medical Supplies$0$197.4M
    Acr Homes, Inc.MNAdult Care Home Facility$0$156M
    Ablenet IncMNDurable Medical Equipment & Medical Supplies$0$114.5M
    Presbyterian Homes And ServicesMNHome Health Agency$0$37.9M
    Midwest Radiology, PAMNDiagnostic Radiology Physician$0$31.2M
    Brain Injury Association Of MinnesotaMNCase Management Agency$0$26.9M
    Sasaki Medical LLCMNAddiction Medicine (Family Medicine) Physician$0$24M
    Pediatric Home Respiratory Services LLCMNHome Infusion Therapy Pharmacy$0$14.2M
    Minnesota Epilepsy Group PAMNNeurology Physician$0$9.2M
    Roseville Ops LLCMNAssisted Living Facility$0$6.6M

    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. Minnesota Distribution
    Austin Heneman — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota