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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

Steven Heard (NPI 1194936849)

Field	Value
Entity Type	Individual
Organization	Steven Heard
Address	9007 Ellerbe Rd.
City	Shreveport
State	LA
ZIP	71106
Taxonomy	Dermatology Physician
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $1.4M and there is no Medicaid billing on file. The absence of any Medicaid claims means Medicaid does not contribute to this provider’s payer mix and operational footprint is driven by Medicare volumes and reimbursement patterns.

Revenue is highly concentrated in a small set of Medicare codes: the top three Medicare codes (Q4188, Q4205, 17311) together account for 59.9% of this provider’s total Medicare revenue. Those top three are Q4188 ($412.8K revenue, 29.4%), Q4205 ($260.5K revenue, 18.5%), and 17311 ($168.3K revenue, 12.0%), indicating a narrow set of procedures drive most revenue.

The code mix signals a surgical dermatology practice with a strong focus on Mohs surgery and use of graft/skin-substitute products. High-share codes include 17311 (Mohs surgery) and Q-series skin-substitute codes (Q4188, Q4205, Q4190, Q4158), plus reconstructive wound codes like 15275 and intermediate repair codes such as 12032 and 12052, consistent with combined tumor-excision, reconstruction and grafting workflows.

Competitive standing by code is mixed: for advanced graft materials the provider is a modest national participant (Q4188 ranks #34 of 47, 28th percentile — described as "typical, unremarkable volume"; Q4205 ranks #53 of 63, 16th percentile — also "typical, unremarkable volume"). By contrast, Mohs (17311) ranks #1019 of 2969 (66th percentile) and is a solid mid-tier contributor nationally (labeled "typical, unremarkable volume" in its peer group).

Operational throughput is high for pathology and routine office visits: 88305 appears at 5.9K claims for $140.7K revenue and ranks #515 of 14580 providers (96th percentile, described as "typical, unremarkable volume"), while 99213 is 1.4K claims for $82.4K revenue and ranks #2417 of 457151 (99th percentile, labeled an "extreme outlier, far above typical national volume"). Together these suggest heavy specimen processing and high clinic visit volume supporting the surgical workload.

The practice bills unusually large volumes of lesion destruction and related minor-procedure codes: 17000, 17003 and 17110 are all in high national percentiles (17000 at the 96th percentile, 17003 at the 97th, 17110 at the 98th) and are described as "notably above typical national volume." This pattern indicates substantial throughput of lesion-destruction cases in addition to Mohs and reconstruction.

From a payor-network and commercial perspective, dependence on Medicare ($1.4M) with no Medicaid presence suggests limited leverage or visibility in Medicaid networks; contracting or utilization negotiations with Medicaid plans would need to account for the provider’s lack of Medicaid claims. For Medicare-focused payer analytics, the provider’s concentration in a few high-revenue codes and extreme visit-volume outlier status for 99213 are the primary levers for utilization and cost analyses.

This NPI has longevity in the dataset (enumerated 2007-05-24, approximately 19 years ago), indicating an established practice history that aligns with consistent Medicare billing patterns over time. Tenure combined with concentrated procedural specialization (Mohs, grafts and high-volume minor-procedures) supports the view of a stable, surgery-focused dermatology practice rather than a transient or early-stage billing profile.

Medicare: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	730	$570	$412.8K
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	220	$1,160	$260.5K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	340	$490	$168.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	5,860	$20	$140.7K
99213	The 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…	1,450	$60	$82.4K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	180	$310	$55.1K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	690	$70	$48.5K
Q4190	Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)	100	$440	$42.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	950	$30	$31.4K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	170	$110	$17.9K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Steven Heard — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4188	1	10	730	$570	$412.5K
Q4205	1	10	220	$1,160	$260.6K
17311	7	30	230	$410	$119.3K
17312	9	20	110	$290	$44.7K
Q4190	1	10	100	$440	$42.7K
17313	20	20	50	$410	$25K
88305	4	220	370	$30	$22.3K
13132	8	20	70	$180	$16.6K
99214	6,012	6,670	110	$80	$16.5K
Q4158	1	10	230	$60	$14.6K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donald Posner	LA	Dermatology Physician	$367.1K	$0
Jason Romero	LA	Dermatology Physician	$328.3K	$0
Anne Bryan	LA	Dermatology Physician	$323.7K	$0
David Clemons	LA	Dermatology Physician	$288.3K	$0
Laura Haynie	LA	Dermatology Physician	$283.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatria Healthcare, LLC	LA	Medically Fragile Infants and Children Day Care	$0	$9.8M
Laser & Cataract Center Of Shreveport LLC	LA	Ambulatory Surgical Clinic/Center	$2.2M	$231K
Jeffrey Gosslee	LA	Retina Specialist (Ophthalmology) Physician	$2.3M	$4.5K
Red River Surgery Center LLC	LA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Bryan Vekovius	LA	Specialist	$625.1K	$1.5K
Claude Bundrick	LA	Ophthalmology Physician	$373.5K	$0
Pat Bass	LA	Internal Medicine Physician	$355.3K	$0
Ann Guy	LA	Ophthalmology Physician	$333.3K	$0
Mobile X-ray Services Of Shreveport Bossier Inc	LA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$198.3K	$105.7K
Bryan Lusk	LA	Ophthalmology Physician	$300.5K	$0

Steven Heard — Billing Profile & Reimbursement Data

Sign up for Steven Heard — Billing Profile & Reimbursement Data policy alerts

Steven Heard — Billing Profile & Reimbursement Data

Sign up for Steven Heard — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References