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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Heather Atamian (NPI 1427200302)

Field	Value
Entity Type	Individual
Organization	Heather Atamian
Address	7400 Merton Minter St
City	San Antonio
State	TX
ZIP	78229
Taxonomy	Medical Physician Assistant
NPI Enumerated	October 22, 2008

Payer Source	Total Paid
Medicare	$3.4K
Medicaid	$0

Key Findings

HEATHER ATAMIAN is a Medical Physician Assistant in SAN ANTONIO, TX with an NPI enumerated on 2008-10-22 (~18 years ago). Lifetime Medicare revenue on file is $3.4K and there is no Medicaid billing on file, making this effectively a single-payer (Medicare-only) footprint in the available claims data.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 86.4% of this provider's total Medicare revenue. The three revenue drivers are 99214 ($1.3K, 39.1% of Medicare revenue), 99204 ($1.2K, 35.0%), and 87426 ($420, 12.4%), indicating most Medicare dollars flow from a very small set of services.

The dominant codes (99214 and 99204) are evaluation and management visits for established and new patients respectively, and their presence as the top two codes suggests the provider’s billed activity is primarily outpatient evaluation-and-management work. The presence of 87426 (SARS–CoV–2 antigen testing) and 87400 (influenza antigen testing, $336, 9.9%) alongside 96372 (therapeutic injection, $126, 3.7%) points to a practice pattern consistent with primary care or urgent-care style visits that include point-of-care infectious-disease testing and occasional injections.

Competitive standing on Medicare for the top codes is modest. 99214 ranks #451608 of 479517 (5th percentile) and is described as "typical, unremarkable volume for this code," while 99204 ranks #217464 of 227068 (0th percentile) and likewise is labeled "typical, unremarkable volume for this code," indicating this provider is a low- to moderate-volume participant nationally for its primary services rather than a major regional or national producer.

Several codes are explicitly labeled in the data as "typical, unremarkable volume" or comparable low-percentile standings (87426 at the 5th percentile; 87400 at the 13th percentile; 96372 at the 4th percentile), underscoring that the provider’s billing patterns fall well within ordinary, low-volume ranges rather than representing statistical high outliers. These percentile indicators support the interpretation of limited Medicare-facing activity.

Operationally, claim counts for the top E/M codes are small (16 claims for 99214 and 11 claims for 99204) which, together with total Medicare revenue of $3.4K, imply a low overall Medicare patient volume or limited Medicare-billed scope of practice. This low-volume profile could reflect part-time clinical activity, work inside a larger organization where other payers dominate, or services mainly delivered to non-Medicare populations, but the claims data alone do not specify the cause.

One noteworthy billing artifact: there are 120 claims for J1100 (injection, dexamethasone sodium phosphate, 1 mg) recorded at $0 avg paid/claim and $0 revenue while ranking #16470 of 23460 (29th percentile). The presence of many zero-dollar line items alongside modest paid claims for clinical visits suggests recurring billing entries that do not translate into Medicare revenue—this may reflect bundling, non-covered supply reporting, or administrative claim lines rather than standalone paid services.

The absence of any Medicaid billing on file is material for payer-mix and contracting analyses: with Medicare revenue of $3.4K and "none" for Medicaid, the provider’s claims footprint in these public programs is narrowly focused on Medicare and may have limited leverage or visibility in Medicaid networks and state-level analyses.

Medicare: Complete Services Breakdown

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

6 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…	20	$80	$1.3K
99204	The 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…	10	$110	$1.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	10	$40	$420
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	20	$10	$340
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	10	$10	$130
J1100	Injection, dexamethasone sodium phosphate, 1 mg	120	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Heather Atamian — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19	32,500	110	$80	$17.6K
99204	11	16,380	30	$110	$5.6K
87426	3	1,870	20	$30	$1.3K
96372	3	6,020	50	$10	$810
87400	1	100	40	$10	$710
J1100	2	3,060	210	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manuel Galan	TX	Family Nurse Practitioner	$1.4M	$0
Eastern Aleutian Tribes, Inc	AK	Community Health Clinic/Center	$0	$690.3K
Eastern Aleutian Tribes, Inc	AK	Clinic/Center	$0	$664.6K
Kalpesh Patel	TX	Pulmonary Disease Physician	$411.2K	$0
Rajesh Shetty	TX	Pulmonary Disease Physician	$278.4K	$0
Chirag Patel	SD	Internal Medicine Physician	$141.6K	$0
Siva Marri	OR	Pulmonary Disease Physician	$88.1K	$0
Ali Mansour	NY	Internal Medicine Physician	$77.3K	$3.9K
Robert Salter	GA	Family Medicine Physician	$77.5K	$0
Darlene Sanders	MT	Physician Assistant	$22.8K	$40.1K

Heather Atamian — Billing Profile & Reimbursement Data

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Heather Atamian — 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

Frequently Asked Questions

References