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    OpenPayerNPI Medicare & MedicaidLoni Hegarty
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    Loni Hegarty — Billing Profile & Reimbursement Data

    NPI 1093466971 · Knightdale, NC · Family Nurse Practitioner

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    Loni Hegarty is a family nurse practitioner provider located in Knightdale, North Carolina. This profile covers 18 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
    OrganizationLoni Hegarty
    Address6602 Knightdale Blvd Ste 102
    CityKnightdale
    StateNC
    ZIP27545
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 12, 2022

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

    Payer SourceTotal Paid
    Medicare$44.9K
    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.

    18 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…370$50$20.1K
    0241UN/A100$140$13.7K
    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…80$80$6.2K
    99203The provider sees a new 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 provider…20$60$1.3K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…60$20$880
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$10$480
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$350
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…40$10$340
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…30$10$230
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30$10$220

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,11918,060110$80$15.1K
    850251,4761,92080$10$7.4K
    992131,13816,32070$50$7.1K
    364152,0893,49090$10$6.4K
    0241U623030$140$4.7K
    8502737450050$10$3.6K
    8004843991040$10$3.5K
    992033,3445,45030$70$3.1K
    845208310070$1$1.9K
    842956670100$1$1.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Clinton Medical Clinic, Inc.NCGeneral Practice Physician$0$17.3M
    David WalkerNCCardiovascular Disease Physician$1M$0
    Jeffrey JonesNCDiagnostic Radiology Physician$697.7K$0
    George AdamsNCInterventional Cardiology Physician$649.9K$0
    Mahmoud AtiehNCInterventional Cardiology Physician$649.6K$0
    Teigha RandolphNCInternal Medicine Physician$560.6K$0
    Sean WhalenNYNuclear Medicine Physician$555.5K$0
    Mateen AkhtarNCCardiovascular Disease Physician$551.4K$0
    Mohammed FarooquiNCCardiovascular Disease Physician$517.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William FarmerNCDermatology Physician$152.7K$0
    Austin RenaudNCPhysician Assistant$92.9K$0
    Frank FerrittoNCPhysician Assistant$90.2K$0
    Elizabeth WallaceNCPhysical Therapist$65.1K$0
    Casey WigginsNCFamily Nurse Practitioner$18.7K$730

    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. North Carolina Distribution
    Loni Hegarty — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina