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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrian Heaster
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    Brian Heaster — Billing Profile & Reimbursement Data

    NPI 1225010572 · Darlington, SC · Family Medicine Physician

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    Brian Heaster is a family medicine physician provider located in Darlington, South Carolina. This profile covers 28 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
    OrganizationBrian Heaster
    Address201 Cashua St
    CityDarlington
    StateSC
    ZIP29532
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$56.1K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$10$4.9K
    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…600$10$4.8K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.600$10$4.8K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.590$10$4.1K
    82985The lab analyst performs an analysis, typically on serum or plasma, for glycated protein, a blood component that indicates recent patient glucose control, such as over a two to three week period. You…230$20$3.7K
    83721The lab analyst performs a test to directly measure the low density lipoprotein, LDL, cholesterol in a patient specimen.360$10$3.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…210$20$3.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…60$50$2.9K
    84550The lab analyst performs a test to measure the amount of uric acid in patient blood.590$1$2.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…250$10$2.2K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306330450230$80$23.9K
    80061181370150$10$6.7K
    84443126340130$20$6.7K
    8230618728070$30$6.2K
    82985510270$20$4.1K
    83721830140$10$3.3K
    8007657240120$10$3.2K
    85025110810120$10$3.1K
    841537819050$20$2.8K
    364159832,090140$10$2.7K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare, Inc.SCFederally Qualified Health Center (FQHC)$0$3.3M
    Genesis Health Care, IncSCFederally Qualified Health Center (FQHC)$0$2.1M
    Genesis Healthcare, Inc.SCFederally Qualified Health Center (FQHC)$0$2M
    Genesis Healthcare, IncSCFederally Qualified Health Center (FQHC)$0$1.9M
    Alexander CohenSCFamily Medicine Physician$128.6K$22.3K
    Timothy MyersMNDiagnostic Radiology Physician$113.6K$27.6K
    Priscilla WelchSCFamily Medicine Physician$100.1K$5.9K
    Michael BarrettSCFamily Medicine Physician$64.8K$0
    Isabel MendozaSCFamily Medicine Physician$39.6K$3.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Carolina Pediatric AssociatesSCPediatric Dentistry$0$7.2M
    Noc Home Care, LLCSCNursing Care Agency$0$6M
    Eastern Carolina Pediatric Associates PCSCPediatrics Physician$0$4.5M
    Darlington County EmsSCLand Ambulance$988.4K$1.8M
    Darlington County School DistrictSCLocal Education Agency (LEA)$0$2.4M
    Mcleod Physician Associates IiSCUrgent Care Clinic/Center$0$2.3M
    Pee Dee Professional Intervention Services, LLCSCEarly Intervention Provider Agency$0$1.8M
    Medone Medical Transport, LLCSCLand Ambulance$583.1K$13.1K
    Medic Of South Carolina, LLCSCLand Ambulance$281.5K$109K
    Delori KnightSCSpeech-Language Pathologist$49.3K$156.6K

    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. South Carolina Distribution
    Brian Heaster — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina