Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Heffernon
    Ask Trek AI about this page

    Jeffrey Heffernon — Billing Profile & Reimbursement Data

    NPI 1174625131 · Woodland, CA · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Jeffrey Heffernon — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffrey Heffernon is a diagnostic radiology physician provider located in Woodland, California. This profile covers 48 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Heffernon
    Address1325 Cottonwood St
    CityWoodland
    StateCA
    ZIP95695
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedSeptember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$154K
    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.710$20$16.2K
    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…750$20$15.7K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.450$30$14.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.480$20$11.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…390$30$11.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.380$20$9.1K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.300$30$7.5K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.80$80$6.6K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…240$30$6.2K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.210$30$5.8K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    938802,1712,23040$130$10.7K
    765363291,55040$70$4.5K
    767701,6851,99050$60$4.5K
    710452,1372,870200$10$3.4K
    939711,8001,89040$50$3.2K
    7683093199020$80$2.6K
    73564181,61040$30$2.3K
    71046673,64050$20$2K
    735659119030$30$1.8K
    73562392,24050$20$1.8K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sutter Valley HospitalsCAGeneral Acute Care Hospital$0$81.2M
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Family Health Center Of Marshfield IncWIDental Clinic/Center$0$20.4M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Flambeau Hospital IncWICritical Access Hospital$0$7M
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yolo County Health And Human Services AgencyCACommunity/Behavioral Health Agency$0$74.6M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$30.5M
    Dennis MeredithCAOrthopaedic Surgery of the Spine Physician$324.3K$0
    Daniel ParkerCASports Medicine (Family Medicine) Physician$308.9K$0
    Oliver StantonCADermatopathology (Pathology) Physician$259.8K$0
    Sheldon LeongCANephrology Physician$216.5K$0
    Seth RobinsonCAPulmonary Disease Physician$116.6K$0
    Michael StarkweatherCAFoot & Ankle Surgery Podiatrist$77.7K$0
    Arish EduljeeCANeurology Physician$72.8K$0
    Hoang TranCAOrthopaedic Surgery Physician$36.6K$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. California Distribution
    Jeffrey Heffernon — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California