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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Heigle
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    Thomas Heigle — Billing Profile & Reimbursement Data

    NPI 1174573711 · Baton Rouge, LA · Ophthalmology Physician

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    Thomas Heigle is a ophthalmology physician provider located in Baton Rouge, Louisiana. This profile covers 15 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
    OrganizationThomas Heigle
    Address7777 Hennessy Blvd
    CityBaton Rouge
    StateLA
    ZIP70808
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicare$138.2K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…570$80$43.5K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.30$830$23.4K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…390$60$22.4K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…60$380$22K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$210$5.3K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.30$140$4.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$80$3.9K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.110$20$2.6K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.100$30$2.5K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…90$20$2.2K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698413421080$500$91.3K
    6575631030$1,070$35.3K
    9201477470170$80$23.9K
    6682112017040$220$16.5K
    9201253350100$60$11.7K
    9213415336070$20$7.4K
    68761256030$140$7.4K
    9200418738050$90$5.5K
    9213669140110$20$4.2K
    9208320732050$30$3.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsuhn Billing LLCLAMulti-Specialty Clinic/Center$0$45.7M
    Wade MayLACardiovascular Disease Physician$1.8M$0
    Jennifer MalinLARheumatology Physician$1.7M$0
    Lewis MurrayLAOphthalmology Physician$775.2K$610.9K
    Robert BlemLAOphthalmology Physician$1.2M$93.6K
    George FivgasLAOphthalmology Physician$1.3M$0
    Ankur LodhaLAInterventional Cardiology Physician$1.2M$0
    Eric ReishLAOphthalmology Physician$975.5K$106.9K
    Agostino IngraldiLAInterventional Cardiology Physician$981.3K$0
    Fernando RuizLAInterventional Cardiology Physician$871.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Our Lady Of The Lake Hospital Inc.LAGeneral Acute Care Hospital$0$205.8M
    Our Lady Of The Lake Physician Group LLCLAInternal Medicine Physician$0$134M
    Professional Emergency Physician Associates, LLCLAEmergency Medicine Physician$0$28.4M
    Radiology Associates LLCLADiagnostic Radiology Physician$0$18.6M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$15.1M
    Medlogic,llcLAClinical Medical Laboratory$0$13.3M
    Baton Rouge Clinic, A Medical CorporationLAInternal Medicine Physician$0$10.3M
    Pathology Group Of Louisiana, A Professional Medical CorporationLAAnatomic Pathology & Clinical Pathology Physician$0$8.3M
    Infusion Partners, LLCLAHome Infusion Therapy Pharmacy$0$7.3M
    Baton Rouge Radiology Group IncLADiagnostic Radiology Physician$0$7.2M

    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. Louisiana Distribution
    Thomas Heigle — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana