Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mark Heibel (NPI 1417946484)

Field	Value
Entity Type	Individual
Organization	Mark Heibel
Address	7701 Preserve Ln
City	Lincoln
State	NE
ZIP	68516
Taxonomy	Dermatology Physician
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicare	$744.6K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $744.6K and there is no Medicaid billing on file, so the practice’s revenue exposure is concentrated entirely in the Medicare population. Analysts should treat Medicaid-driven access or reimbursement dynamics as irrelevant for this profile.

Revenue concentration is material: the precomputed top‑3 Medicare codes (99214, 17311, 99213) account for 45.4% of this provider’s total Medicare revenue, indicating a small set of codes drive nearly half of Medicare receipts. Those top codes combine evaluation/management and procedural Mohs services, so both visit volume and targeted procedures are revenue drivers.

The code mix indicates a procedural dermatology practice with substantial office visit throughput and on‑site procedural work: high‑revenue Mohs surgery (17311 and related 17312/17313 codes), frequent lesion destruction codes (17000, 17003, 17004), and substantial pathology billing (88305) together point to a clinic that performs diagnosis, destruction/excision, and pathology processing for skin lesions. This combination suggests integrated procedural services rather than a purely consultative dermatology model.

Office visit volume is unusually high relative to national peers: 99214 (1.5K claims, $124.9K revenue) ranks #3556 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 99213 (1.3K claims, $80.7K revenue) ranks #2967 of 457151 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These rankings indicate the provider is a very high throughput clinic for established patient E/M visits compared with the national Medicare population.

Mohs surgery contributes significant revenue but is not an outlier among Mohs providers: 17311 generates $117.4K (rank #1269 of 2969, 57th percentile; typical, unremarkable volume for this code), and companion Mohs codes (17312, 17313) also sit at modest percentiles. In other words, Mohs is an important service line for revenue mix but the provider is not a dominant Mohs performer at the national level.

Lesion treatment and biopsy activity is a clear volume strength: 17000 ($44.3K revenue) is an extreme outlier (rank #361 of 21879, 98th percentile; extreme outlier, far above typical national volume for this code), 17003 (6.4K claims, $25.4K revenue) is also an extreme outlier (rank #164 of 19643, 99th percentile; extreme outlier, far above typical national volume for this code), and 11102 (780 claims, $47.6K revenue) ranks in the 98th percentile (notably above typical national volume for this code). These patterns point to very high throughput for destruction and shaving biopsy procedures.

Ancillary pathology and reconstructive repair services meaningfully supplement revenue: 88305 accounts for $58.3K (79th percentile; typical, unremarkable volume for this code), and repair code 12053 ($6.1K revenue) ranks #22 of 382 providers nationally (94th percentile; notably above typical national volume for this code). This mix suggests on‑site or closely aligned pathology services together with occasional higher‑complexity closures add to the practice’s procedural footprint.

The provider has long tenure on file (NPI enumerated 2005-10-20, ~21 years ago), consistent with a mature, established practice profile focused on Medicare beneficiaries. Combined with concentrated Medicare revenue and multiple high‑percentile procedural codes, tenure reinforces that this is an experienced dermatology practice with sustained procedural and visit volume over time.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,510	$80	$124.9K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	280	$420	$117.4K
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…	1,350	$60	$80.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,210	$50	$58.3K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	780	$60	$47.6K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,340	$30	$44.3K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	320	$110	$36.3K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	100	$300	$28.9K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	6,350	$1	$25.4K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	40	$460	$19.6K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Mark Heibel — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	6	20	170	$410	$86.1K
88305	31	100	860	$30	$35.7K
17312	11	20	100	$290	$34K
17313	6	10	50	$400	$23.1K
99214	23	3,210	110	$70	$14.9K
14060	11	10	20	$550	$14.2K
14061	1	10	20	$650	$12.9K
13132	17	20	30	$230	$11.6K
17110	85	110	120	$60	$10.7K
14041	2	10	20	$620	$9.9K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Naomi Sampson	NE	Nurse Practitioner	$30.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melvin Churchill	NE	Rheumatology Physician	$4.8M	$0
Lincoln Radiology Group PC	NE	Diagnostic Radiology Physician	$0	$4.5M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$4.2M
Rick Chatwell	NE	Rheumatology Physician	$3.5M	$0
Lincoln Pediatric Group LLC	NE	Pediatrics Physician	$0	$2.3M
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Nebraska House Call Physicians, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Urology Surgical Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.4M	$190.5K
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0

Mark Heibel — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References