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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Dountas
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    Heather Dountas — Billing Profile & Reimbursement Data

    NPI 1407889074 · Albuquerque, NM · Physician Assistant

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    Heather Dountas is a physician assistant provider located in Albuquerque, New Mexico. This profile covers 16 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
    OrganizationHeather Dountas
    Address3901 Carlisle Blvd Ne
    CityAlbuquerque
    StateNM
    ZIP87107
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 8, 2006

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

    Payer SourceTotal Paid
    Medicare$46.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…340$70$23.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…240$40$8.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$100$3.6K
    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…30$90$2.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…40$60$2.2K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…70$30$1.9K
    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$60$1.4K
    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…10$50$760
    G0442Annual alcohol misuse screening, 5 to 15 minutes40$10$470
    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).…30$10$300

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143612,70090$70$12.9K
    G043931449050$120$9.7K
    9949026140100$40$8.9K
    9921559596040$110$7.8K
    992132,2972,44060$50$7.3K
    992047421,21030$100$4.5K
    994974110030$60$4.3K
    3641522936060$10$3K
    99439268050$30$3K
    92552101040$20$1.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcleod Medical Centers Of Nm, Inc.NMFamily Medicine Physician$0$12.3M
    Sascha AnastasNMPhysician Assistant$108.2K$0
    John StuartNMFamily Medicine Physician$85.4K$0
    John PopeNMFamily Nurse Practitioner$50.3K$0
    Rachael CunnickNMPhysician Assistant$44.2K$0
    Lisa PriceNMFamily Nurse Practitioner$40.8K$0
    Rebeca Mendoza GomezNMPhysician Assistant$28.8K$0
    Kristen BushnellNMSurgical Physician Assistant$16.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bernalillo County Health Care CorporationNMLand Ambulance$4.4M$80M
    Alianza Family Services, LLCNMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$60.9M
    Csi Aviation, Inc.NMAir Ambulance$2.2M$50.9M
    Albuquerque Health ServicesNMMethadone Clinic$195.8K$35.4M
    Native American Professional Parent Resources (nappr), Inc.NMCommunity/Behavioral Health Agency$0$14.6M
    Courageous Transformations, IncNMMethadone Clinic$0$13.6M
    Unm Medically Fragile Case Management ProgramNMCase Management Registered Nurse$0$10.2M
    Functional Aquatics TherapyNMRehabilitation Clinic/Center$0$6M
    Roswell Home Medical IncNMDurable Medical Equipment & Medical Supplies$0$5.5M
    Unm Focus ProgramNMCase Manager/Care Coordinator$0$4.9M

    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. New Mexico Distribution
    Heather Dountas — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico