Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Harkins
    Ask Trek AI about this page

    Douglas Harkins — Billing Profile & Reimbursement Data

    NPI 1457376915 · Jackson, MS · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Douglas Harkins — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Douglas Harkins is a cardiovascular disease physician provider located in Jackson, Mississippi. This profile covers 39 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Harkins
    Address970 Lakeland Dr
    CityJackson
    StateMS
    ZIP39216
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$959.5K
    Medicaid$0

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…100$1,650$157K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries230$570$128.6K
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…120$1,040$127.6K
    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…1,270$80$103.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,130$90$102K
    J1306Injection, inclisiran, 1 mg10,790$10$97.1K
    J2785Injection, regadenoson, 0.1 mg940$40$37.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…980$30$32.2K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…820$30$22.9K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.710$30$22K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7849273080$1,040$87.6K
    7843174040$1,230$85.9K
    J13064207,380$10$74K
    A9555640120$410$53.1K
    933068210290$80$27.8K
    J27851370410$40$22K
    992141304,110170$70$21.9K
    99233844970110$90$21.7K
    7845212413070$160$16.7K
    992323561,490100$60$12.9K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of Mississippi - University Of Mississippi Medical CenterMSCritical Access Hospital$0$7.5M
    St. Dominic Jackson MemorialMSEmergency Medicine Physician$0$2.8M
    Reuben StoneMSCardiovascular Disease Physician$1.1M$0
    Vernon CottenMSCardiovascular Disease Physician$932.6K$0
    Donny StokesMSCardiovascular Disease Physician$881.8K$0
    Brett BennettMSInterventional Cardiology Physician$779K$0
    David YoungMSInterventional Cardiology Physician$688.5K$0
    James BennettMSInterventional Cardiology Physician$661.1K$0
    Richard GuynesMSInterventional Cardiology Physician$652.1K$0
    Sandra MccearleyMSClinical Cardiac Electrophysiology Physician$577.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of Mississippi - University Of Mississippi Medical CenterMSGeneral Acute Care Hospital$0$507.2M
    Central Ms. Planning & Dev. District, Inc.MSCase Management Agency$0$47.2M
    St Dominic-jackson Memorial HospitalMSGeneral Acute Care Hospital$0$37.1M
    Afnb Home Care LLCMSIn Home Supportive Care Agency$0$25.6M
    Ms Children's Home SocietyMSCommunity/Behavioral Health Agency$0$19.4M
    Mississippi State Department Of HealthMSCommunity/Behavioral Health Agency$0$14.9M
    Ms State Department Of HealthMSCommunity/Behavioral Health Agency$0$14.5M
    Guangzhi QuMSHematology & Oncology Physician$9.1M$0
    Mississippi Asthma & Allergy Clinic PAMSAllergy & Immunology Physician$0$8.2M
    Mississippi Methodist Hospital & Rehabilitation Center, Inc.MSGeneral Acute Care Hospital$0$5.7M

    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. Mississippi Distribution
    Douglas Harkins — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi