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 & MedicaidKathryn Heal
    Ask Trek AI about this page

    Kathryn Heal — Billing Profile & Reimbursement Data

    NPI 1235391251 · Novi, MI · Pulmonary Disease Physician

    Customize your policy alerts

    Sign up for Kathryn Heal — 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.

    Kathryn Heal is a pulmonary disease physician provider located in Novi, Michigan. This profile covers 17 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
    OrganizationKathryn Heal
    Address39650 Orchard Hill Pl Ste 100
    CityNovi
    StateMI
    ZIP48375
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 30, 2008
    NPI DeactivatedAugust 26, 2019

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

    Payer SourceTotal Paid
    Medicare$114.7K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical 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…390$180$68.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…200$60$12.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$140$11.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…50$100$5.5K
    99233The 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…30$100$2.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$150$2.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…20$120$2.5K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$40$1.6K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…110$10$1.5K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.110$10$1.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992333,3174,22070$90$12.3K
    992321,8236,73090$60$12K
    992149,87815,47080$80$11.4K
    99291292,74040$170$10K
    992231,0894,88040$130$8.3K
    992153,4054,42030$110$6K
    992043,9096,28030$110$4.2K
    992319602,00040$40$2.6K
    947297933060$20$1.8K
    947263626050$20$1.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Macomb Hospital CorporationMIGeneral Acute Care Hospital$0$40.9M
    Henry Ford Macomb Hospital CorporationMIFamily Medicine Physician$0$9.2M
    Henry Ford Macomb Hospital CorporationMIAdvanced Practice Midwife$0$7.3M
    Patrick MclaughlinMIRadiation Oncology Physician$737.5K$0
    Luay SayedMIInterventional Cardiology Physician$593.6K$0
    June ChanMIRadiation Oncology Physician$420.6K$0
    Gunateet GoswamiMICardiovascular Disease Physician$409.1K$0
    Samer KazzihaMICardiovascular Disease Physician$345.5K$0
    Subhi SbahiMICardiovascular Disease Physician$336K$0
    Fadi Al-qas HannaMICardiovascular Disease Physician$325.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cns HealthcareMIPsychiatry Physician$0$214.3M
    Biotech Clinical Laboratories IncMIClinical Medical Laboratory$8.1M$49.9M
    Theoria MedicalMIInternal Medicine Physician$0$9.6M
    University Pediatricians Autism CenterMIBehavior Analyst$0$9.1M
    Novi Surgery Center LLCMIAmbulatory Surgical Clinic/Center$1.5M$0
    Eric KovanMIPhysical Medicine & Rehabilitation Physician$510.6K$0
    Dorin DeitchMIPhysical Medicine & Rehabilitation Physician$283.1K$0
    Jenny MichaelsMIPhysical Medicine & Rehabilitation Physician$251K$0
    Jessica MartinelliMINurse Practitioner$178.5K$0
    Michael HaenickMIPhysical Medicine & Rehabilitation Physician$167.1K$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. Michigan Distribution
    Kathryn Heal — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan