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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKathleen Hefferon
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    Kathleen Hefferon — Billing Profile & Reimbursement Data

    NPI 1295755312 · Bluffton, SC · Physician Assistant

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    Kathleen Hefferon is a physician assistant provider located in Bluffton, South Carolina. This profile covers 12 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
    OrganizationKathleen Hefferon
    Address75 Baylor Dr Ste 155
    CityBluffton
    StateSC
    ZIP29910
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$80.5K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…410$70$29.2K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose180$60$10.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…240$40$9.2K
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1,500$10$9K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…240$40$8.8K
    76882The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the…200$30$6.1K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose10$410$4.5K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…30$40$1.2K
    J1040Injection, methylprednisolone acetate, 80 mg110$10$1K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.20$40$680

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732013202,980$10$49.1K
    J7326485070$400$31.2K
    J73211040110$60$12.5K
    206111416060$70$10.1K
    76881320100$40$4K
    99212971,82030$30$2.5K
    2055018823040$40$2.2K
    7694211126030$30$1.2K
    J10406421050$10$1.2K
    J103016239060$10$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Joseph RacanelliNYDiagnostic Radiology Physician$945.7K$478.9K
    Norman BettleSCNeurology Physician$779.2K$0
    John SharpSCCardiovascular Disease Physician$713.8K$0
    Frank LombardoNYOrthopaedic Surgery Physician$568.7K$7K
    Russell TiggesNYAdult Reconstructive Orthopaedic Surgery Physician$539.2K$0
    Aaron FordSCCardiovascular Disease Physician$532.7K$0
    Jay KalanSCCardiovascular Disease Physician$491.6K$0
    Jonathan MaccabeSCCardiovascular Disease Physician$452.8K$0
    Christopher WixonSCVascular Surgery Physician$412.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lowcountry Therapy Center, LLCSCSpeech-Language Pathologist$0$12.6M
    Seaside Pediatrics Of Bluffton, PCSCPediatrics Physician$0$8.4M
    Tidewater Hospice, Inc.SCCommunity Based Hospice Care Agency$0$3.4M
    Ralph Donald CorporationSCIn Home Supportive Care Agency$0$3.2M
    Courtney DavisSCPediatric Dentistry$0$2.8M
    John BrittisSCRheumatology Physician$1.9M$0
    James MasonSCPediatric Dentistry$0$1.8M
    Scott AnfinsonSCOphthalmology Physician$775.5K$0
    Nicholas CasselSCPhysician Assistant$749.8K$0
    Michael SarradetSCMOHS-Micrographic Surgery Physician$559.6K$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. South Carolina Distribution
    Kathleen Hefferon — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina