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 & MedicaidCory Heal
    Ask Trek AI about this page

    Cory Heal — Billing Profile & Reimbursement Data

    NPI 1366970337 · Casa Grande, AZ · Radiation Oncology Physician

    Customize your policy alerts

    Sign up for Cory 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.

    Cory Heal is a radiation oncology physician provider located in Casa Grande, Arizona. This profile covers 32 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 / 9

    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
    OrganizationCory Heal
    Address1281 E Cottonwood Ln
    CityCasa Grande
    StateAZ
    ZIP85122
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJune 2, 2017

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused radiation oncology practice: lifetime Medicare revenue is $2.6M while there is no Medicaid billing on file, so payer mix is single-payer in the available data and Medicaid does not appear in this billing profile. The absence of any Medicaid claims suggests limited engagement with state Medicaid beneficiaries or billing under a different entity not reflected here.

    Revenue is highly concentrated in a small number of high-value Medicare items: the precomputed top three Medicare codes account for 78.6% of the provider's Medicare revenue. In particular, A9607 alone generates $1.4M (54.9% of Medicare revenue), making that single code the dominant revenue driver for this provider.

    The clinical footprint is centered on radioligand therapy and advanced imaging plus external-beam services: the top code A9607 is Lutetium lu 177 vipivotide tetraxetan (a therapeutic radiopharmaceutical), and the presence of diagnostic nuclear medicine codes such as A9596 and A9552 and imaging code 78815 indicates an integrated theranostics/imaging-to-therapy workflow. Complementary external-beam and planning codes (for example, G6015, 77301, 77427) show the provider also delivers conventional and intensity-modulated radiation treatments alongside radiopharmaceutical therapy.

    Competitive standing on the lead therapeutic is modest nationally: A9607 ranks #23 of 44 providers nationally (49th percentile) and is labeled a "typical, unremarkable volume for this code," indicating the provider is not among the highest-volume national centers for this specific radioligand despite it being the largest revenue contributor. Conversely, procedure 77014 ranks #173 of 4303 (96th percentile) and is described as "notably above typical national volume," highlighting at least one area of unusually high activity relative to national peers.

    Delivery and planning services show mixed national positioning: G6015 (IMRT delivery) produces $454.2K (17.5% of Medicare revenue), ranks #147 of 1429 (90th percentile) and is characterized as "typical, unremarkable volume for this code," while other planning/physics codes (77301, 77336, 77338) sit in mid-to-upper national percentiles and are likewise described as typical. This mix suggests steady throughput for both advanced delivery and routine treatment planning rather than outlier leadership across the board.

    The provider’s service mix suggests an operational model that pairs high-cost radiopharmaceutical administration with supporting imaging and radiation delivery infrastructure: substantial payments for A9607 combined with billed diagnostic agents (A9596, A9552) and PET/CT (78815) are consistent with a coordinated diagnostic-selection and therapy-delivery pathway. That alignment implies clinical capability to both identify candidates via molecular imaging and administer targeted radioligand therapy in-house.

    Concentration in a single high-revenue drug creates business sensitivity to utilization and reimbursement changes: with $1.4M tied to A9607 (54.9% of Medicare revenue) and the top three codes contributing 78.6% overall, shifts in access, prior authorization, or pricing for these specific items could materially affect total Medicare revenue. This concentration is noteworthy for payers assessing case-mix volatility or dependency on specific high-cost therapies.

    Tenure is moderate: the provider’s NPI was enumerated 2017-06-02 (~9 years ago), indicating nearly a decade of enrollment during which the practice appears to have added advanced radiopharmaceutical therapy alongside conventional radiation services. For payers and competitors, that tenure combined with the current code mix signals an established practice rather than a very recent entrant, with evident adoption of contemporary theranostic and IMRT capabilities.

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie7,380$190$1.4M
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,680$270$454.2K
    77014N/A1,770$90$162.7K
    G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through…80$1,120$88.8K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…60$1,410$77.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…70$1,120$73.8K
    A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie90$840$71.4K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…340$150$50.9K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev210$180$36.7K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…70$360$23.3K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96072105,680$190$1.4M
    G6015860870$280$256.2K
    G0340112070$1,130$105.5K
    788157016060$710$75.8K
    A959631090$830$73.7K
    770146100640$80$61.9K
    773014010050$1,030$55.6K
    G60122340220$180$48.9K
    77280609060$200$37.6K
    G60171220240$90$30.6K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    David SmithMDHematology & Oncology Physician$6.4M$0
    Gregory MaggassAZRadiation Oncology Physician$4M$0
    Stephen DiversARHematology & Oncology Physician$3.9M$1.5K
    Robert MuldoonARHematology & Oncology Physician$3.2M$0
    Bradley SumrallGAMedical Oncology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sun Life Family Health Center, Inc.AZFederally Qualified Health Center (FQHC)$0$76.7M
    Southwest Ambulance Of Casa Grande, Inc.AZLand Ambulance$2M$59M
    Banner HealthAZGeneral Acute Care Hospital$0$55M
    Helping Associates IncAZMental Health Clinic/Center (Including Community Mental Health Center)$0$18.8M
    Sun Life Family Health Center, Inc.AZFederally Qualified Health Center (FQHC)$0$12.9M
    Banner Urgent Care Arizona LLCAZUrgent Care Clinic/Center$0$10.6M
    Bhsm Rehabilitation LLCAZPhysical Therapy Clinic/Center$0$10.3M
    Corazon Inc.AZMental Health Counselor$0$9.8M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$0$7.8M
    Fc Ranger Ops Garnet Of Casa Grande (az), LLCAZAssisted Living Facility$0$6.8M

    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. Arizona Distribution
    Cory Heal — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona