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NPI 1417395062 · Lake Forest, IL · Vascular & Interventional Radiology Physician
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Michael Heller is a vascular & interventional radiology physician provider located in Lake Forest, Illinois. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Heller |
| Address | 1000 N Westmoreland Rd |
| City | Lake Forest |
| State | IL |
| ZIP | 60045 |
| Taxonomy | Vascular & Interventional Radiology Physician |
| NPI Enumerated | June 5, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $30.9K |
| Medicaid | $90 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 40 | $280 | $10.6K |
| 36558 | The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,… | 20 | $220 | $4.3K |
| 75635 | The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may… | 30 | $90 | $2.9K |
| 99213 | The 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 | $1.6K |
| 99203 | The 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… | 20 | $90 | $1.5K |
| 75774 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 40 | $40 | $1.5K |
| 77012 | In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report… | 30 | $50 | $1.5K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 110 | $10 | $1.2K |
| 77001 | Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the… | 80 | $20 | $1.1K |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 90 | $10 | $1.1K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99213 | 14,130 | 17,390 | 70 | $60 | $8.8K |
| 36561 | 16 | 190 | 20 | $320 | $6.7K |
| 36558 | 68 | 150 | 20 | $230 | $5K |
| 99203 | 4,611 | 6,150 | 30 | $70 | $3.8K |
| 93923 | 79 | 230 | 30 | $60 | $3.3K |
| 75635 | 26 | 140 | 20 | $110 | $2.6K |
| 75774 | 6 | 20 | 40 | $40 | $1.8K |
| 38222 | 110 | 140 | 20 | $80 | $1.7K |
| 77012 | 60 | 160 | 20 | $60 | $1.6K |
| 76942 | 202 | 510 | 30 | $40 | $1.4K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 10 | $10 | $90 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 200 | 230 | 50 | $10 | $980 |
Other providers in the same ZIP code as Michael Heller, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| John Lee | IL | Anatomic Pathology & Clinical Pathology Physician | $104.2K | $1.5M |
| Jennifer Capezio | IL | Rheumatology Physician | $1.3M | $6.2K |
| Thomas Mientus | IL | Anatomic Pathology & Clinical Pathology Physician | $1.1M | $133K |
| Patrick Onkka | IL | Rheumatology Physician | $1.1M | $23.7K |
| Kathryn Kiehn | IL | Rheumatology Physician | $791.2K | $4.6K |
| Julia Sun | IL | Rheumatology Physician | $548.6K | $17K |
| Charulatha Nagar | IL | Neurology Physician | $518.7K | $6K |
| Mark Berk | IL | Dermatology Physician | $391.7K | $110K |
| Michael Mcguire | IL | Urology Physician | $337.2K | $153.7K |
| Mugurel Bazavan | IL | Advanced Heart Failure and Transplant Cardiology Physician | $273.4K | $149.6K |
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