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    OpenPayerNPI Medicare & MedicaidHaleh Haerian
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    Haleh Haerian — Billing Profile & Reimbursement Data

    NPI 1427141407 · Altoona, PA · Endocrinology, Diabetes & Metabolism Physician

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    Haleh Haerian is a endocrinology, diabetes & metabolism physician provider located in Altoona, Pennsylvania. This profile covers 16 Medicare and 12 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)

    FieldValue
    Entity TypeIndividual
    OrganizationHaleh Haerian
    Address1414 9th Ave
    CityAltoona
    StatePA
    ZIP16602
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$277.2K
    Medicaid$139.2K

    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…1,930$90$166.1K
    J0897Injection, denosumab, 1 mg1,440$20$24.5K
    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…150$120$18.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.210$80$16.9K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…380$30$9.9K
    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…80$110$8.6K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…220$40$8.1K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…60$100$6K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…50$100$4.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.460$10$3.7K

    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
    J08973865302,460$20$89.6K
    992141523,230100$80$14.5K
    992158307,17040$120$8.6K
    992041,39010,29030$110$5K
    992052,5723,09020$150$4.9K
    992224,8967,85030$100$4.3K
    77080154420130$10$3.8K
    364151762,34080$10$3.2K
    9525032020$110$3K
    95251531070$20$2.4K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 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…2,760$50$129.7K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…360$20$7.1K
    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$70$2.1K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…10$130$1.6K
    G0008Administration of influenza virus vaccine10$10$140
    3046FThe A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…60$0$0
    3048FThe LDL C test (low density lipoprotein cholesterol test) is a lipid profile test which shows the levels of cholesterol in the blood. The provider uses the test to determine the patient’s risk of…470$0$0
    3051FThe hemoglobin A1c test (HbA1c test) shows blood glucose (sugar) control over a time period of three months or so. This code represents the most recent HbA1c level is between 7.0 percent and 8.0…90$0$0
    3061FThe microalbuminuria test is a urine test that measures the amount of albumin in a patient's urine. A negative test shows the absence of albumin in the urine. This shows that there is no kidney…690$0$0
    3078FNo Summary found for this code440$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7378,160210$60$68.4K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…27431070$160$53.9K
    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…8591,210100$90$45K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…1370110$30$9.9K
    G0008Administration of influenza virus vaccine60670040$10$1.9K
    3079FNo Summary found for this code24686070$1$260
    3078FNo Summary found for this code3341,610100$1$230
    3046FThe A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…195040$1$220
    3051FThe hemoglobin A1c test (HbA1c test) shows blood glucose (sugar) control over a time period of three months or so. This code represents the most recent HbA1c level is between 7.0 percent and 8.0…124050$1$160
    4010FA provider reports this code to indicate that he prescribes for a patient or the patient is currently on an angiotensin converting enzyme, or ACE Inhibitor, or a angiotensin receptor blocker, or ARB…811050$1$60

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    George JabbourPACardiovascular Disease Physician$882.6K$732.1K
    Ziad KhouryPACardiovascular Disease Physician$1.1M$151.8K
    Israr AbbasiNYPsychiatry Physician$99K$423.1K
    Philip McdonaldFLDiagnostic Radiology Physician$444.3K$42.8K
    Mehrdad GhaffariPASleep Medicine (Family Medicine) Physician$172.6K$219.9K
    Jonhan HoPADermatopathology (Pathology) Physician$171.2K$185.6K
    David RosePADiagnostic Radiology Physician$137.1K$209.6K
    Brett ScharfPAFamily Medicine Physician$264.6K$56.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Star Services, Inc.PACase Management Agency$0$21M
    Pyramid Healthcare Inc.PASubstance Use Disorder Rehabilitation Clinic/Center$0$14.3M
    Blair Family Solutions, LLCPACommunity/Behavioral Health Agency$0$9.6M
    Altoona Logan Twp Mobile Med Emerg Dept AuthorityPAAmbulance$924.6K$5.3M
    Advanced Center For Surgery, LLCPAAmbulatory Surgical Clinic/Center$1.5M$0
    Allegheny Surgery Center LLCPAAmbulatory Surgical Clinic/Center$770.6K$361.2K
    Blair Endoscopy Center, LLCPAEndoscopy Clinic/Center$579.7K$325.8K
    Gregory FulchieroPAMOHS-Micrographic Surgery Physician$842.2K$0
    David BozakPAPhysical Medicine & Rehabilitation Physician$768.3K$0
    Christopher McclellanPAOrthopaedic Surgery Physician$410.7K$33.6K

    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. Pennsylvania Distribution
    Haleh Haerian — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Haleh Haerian — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania