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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Alan Heffner (NPI 1093700460)

Field	Value
Entity Type	Individual
Organization	Alan Heffner
Address	1350 S Kings Dr
City	Charlotte
State	NC
ZIP	28207
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	September 13, 2005

Payer Source	Total Paid
Medicare	$16K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$170	$10K
33949	In this procedure, the provider handles the daily management of a veno–arterial (VA) ECMO or ECLS circulation for a patient who was previously placed on extracorporeal circulation where the blood…	30	$180	$4.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$90	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Alan Heffner — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	4,180	4,230	70	$90	$10.1K
99291	819	2,630	40	$160	$9.3K
33949	1	10	30	$180	$4.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Floyd Physicians, LLC	GA	Neonatal-Perinatal Medicine Physician	$0	$2.6M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Gregory Borstad	NC	Rheumatology Physician	$1.6M	$0
Frank Lichtenberger	NC	Allergy & Immunology Physician	$653.5K	$0
Jens Eichhorn	NC	Cardiovascular Disease Physician	$506.8K	$0
Michael Monahan	GA	Urology Physician	$386.4K	$0
Smita Varshney	GA	Psychiatry Physician	$351.7K	$0
Jeramie Rosales Rodriguez	MO	Psychiatry Physician	$2.1K	$289.9K
Carl Capelouto	GA	Urology Physician	$251.2K	$0
Veronica Efros	NC	Family Medicine Physician	$226.7K	$0

Alan Heffner — Billing Profile & Reimbursement Data

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Alan Heffner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References