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

Why is the Medicaid comparison limited to California 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. California (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 Roberts (NPI 1427411487)

Field	Value
Entity Type	Individual
Organization	Heather Roberts
Address	500 Parnassus Ave
City	San Francisco
State	CA
ZIP	94143
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	March 29, 2016

Payer Source	Total Paid
Medicare	$10.4K
Medicaid	$0

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…	40	$100	$3.5K
99215	The 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…	20	$140	$3.4K
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…	20	$70	$1.5K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	20	$40	$870
77077	The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.	30	$30	$630
73501	In this diagnostic procedure, the provider takes an X–ray image of one hip, either left or right, from a single projection (direction or angle) to check for fracture, swelling, or other reason for…	20	$30	$490

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. California Distribution

Heather Roberts — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	30,031	37,970	120	$90	$23.2K
99215	11,239	15,360	50	$130	$14.4K
99213	29,932	34,660	80	$70	$13.2K
73564	1,200	1,610	40	$30	$2.3K
73501	237	360	20	$20	$850
77077	9	20	20	$20	$660

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Surgical Specialists, P.C.	OR	Orthopaedic Surgery Physician	$0	$2.4M
Stephen Southerland	WA	Orthopaedic Surgery Physician	$178.7K	$0
Todd Borus	WA	Orthopaedic Surgery Physician	$157.3K	$0
Edward Sparling	WA	Orthopaedic Surgery Physician	$127.2K	$0
Brian Ragel	WA	Neurological Surgery Physician	$76.3K	$0
Alan Newman	WA	Orthopaedic Surgery Physician	$64.7K	$0
James Chesnutt	OR	Sports Medicine (Family Medicine) Physician	$51.3K	$0
Edward Olson	WA	Neurology Physician	$48.4K	$0
Kyle Pirtle	WA	Surgical Physician Assistant	$47.5K	$0
Douglas Musgrave	WA	Orthopaedic Hand Surgery Physician	$45.4K	$0

Heather Roberts — Billing Profile & Reimbursement Data

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Heather Roberts — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References