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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMadeline Heald
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    Madeline Heald — Billing Profile & Reimbursement Data

    NPI 1316365943 · Akron, OH · Vascular Surgery Physician

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    Madeline Heald is a vascular surgery physician provider located in Akron, Ohio. This profile covers 13 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
    OrganizationMadeline Heald
    Address95 Arch St Ste 215
    CityAkron
    StateOH
    ZIP44304
    TaxonomyVascular Surgery Physician
    NPI EnumeratedApril 1, 2014

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

    Payer SourceTotal Paid
    Medicare$17.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…170$20$3.8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…130$30$3.3K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…160$10$2.2K
    99213The 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…30$70$2.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.5K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…80$10$1.1K
    99203The provider sees a new 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 provider…10$60$660
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…30$30$650
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…10$40$570
    76706The provider performs an ultrasound (a noninvasive imaging procedure that uses high–frequency sound waves) of the abdominal aorta, the largest artery supplying blood and oxygen to organs and…20$20$430

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921314,85620,00070$50$6.6K
    992224,2155,48030$100$4.2K
    9388010553040$50$3.7K
    939706052040$40$3.1K
    992036,0576,38030$60$2.9K
    939716561040$30$1.9K
    939786312030$40$1.6K
    939232717030$40$1.6K
    9397512316020$50$1.1K
    9392215825040$20$1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas HullOHRetina Specialist (Ophthalmology) Physician$2.6M$0
    Donald StephensOHRetina Specialist (Ophthalmology) Physician$405.2K$11.8K
    David RileyOHNeurology Physician$217.9K$0
    Jose CasanovaOHNeurology Physician$200.1K$0
    Mark KropinakPAOphthalmology Physician$159.7K$0
    Kiel PfefferleOHOrthopaedic Surgery Physician$131.9K$0
    Firas HamdanOHClinical Cardiac Electrophysiology Physician$129.8K$0
    Dane DonichOHNeurological Surgery Physician$124.5K$0
    Jason SmithOHClinical Cardiac Electrophysiology Physician$110.6K$0
    Maria AlexianuNJNeurology Physician$95.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summa Health SystemOHGeneral Acute Care Hospital$0$170.6M
    Emergency Medicine Physicians Of Cuyahoga County, LtdOHEmergency Medicine Physician$0$19.8M
    Child Guidance & Family SolutionsOHAdolescent and Children Mental Health Clinic/Center$0$14.6M
    Joshua WeaverOHDermatopathology (Pathology) Physician$292.8K$106.1K
    James Van HulleOHOphthalmology Physician$279.6K$0
    Ozlem BilgenOHEmergency Medicine Physician$153.3K$24.9K
    David DrevnaOHUrology Physician$150.3K$0
    Tyler TaigenOHClinical Cardiac Electrophysiology Physician$126K$0
    Tom StamatisOHDiagnostic Radiology Physician$101.2K$0
    Jonathan KanamOHInternal Medicine Physician$99.5K$1.7K

    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. Ohio Distribution
    Madeline Heald — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio