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

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

John Heflin (NPI 1457555831)

Field	Value
Entity Type	Individual
Organization	John Heflin
Address	9001 Wesleyan Rd
City	Indianapolis
State	IN
ZIP	46268
Taxonomy	Family Medicine Physician
NPI Enumerated	June 12, 2007

Payer Source	Total Paid
Medicare	$21.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	120	$50	$5.3K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	120	$30	$4.2K
99458	The 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.…	140	$30	$3.8K
99457	The 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…	90	$30	$3.2K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	80	$40	$3.2K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	40	$30	$1.1K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	30	$40	$900
99453	The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it.	20	$10	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

John Heflin — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	256	510	120	$40	$10.4K
99457	38	70	100	$30	$7.9K
99458	16	40	90	$30	$7.1K
99454	56	60	90	$30	$6.7K
99439	65	290	60	$30	$4.6K
G0179	28	80	30	$30	$1.4K
G0180	9	270	20	$40	$950
99453	26	40	30	$10	$530

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daryl Jenkins	IL	Podiatrist	$131.5K	$4.4K
Michael Miller	IN	Surgery Physician	$122.5K	$0
Margaret Black	IN	Clinical Social Worker	$64K	$0
Wendy Carroll	IN	Nurse Practitioner	$53.7K	$0
Ronit Reuveny	IN	Family Nurse Practitioner	$50.9K	$0
Brittany Pulliam	IN	Family Nurse Practitioner	$43.4K	$0
Lisa Ferrin	IN	Adult Health Nurse Practitioner	$38.3K	$0
Robert Eisinger	IN	Podiatrist	$17.6K	$0
Janet Satterthwaite	IN	Family Nurse Practitioner	$11.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lel Home Services, LLC	IN	In Home Supportive Care Agency	$0	$62.2M
Pike Medical Consultants PC	IN	Pulmonary Disease Physician	$0	$10.2M
Northwest Radiology Network P C	IN	Diagnostic Radiology Physician	$0	$9.5M
The Indiana Institute For Behavior Analysis, Inc	IN	Community/Behavioral Health Agency	$0	$9.1M
Am-pm Homes Health Services LLC	IN	Home Health Agency	$0	$9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.9M
United Seating And Mobility LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$7.9M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$6.5M
Cornerstone Associates, LLC	IN	Developmentally Disabled Services Day Training Agency	$0	$6.2M
Lincare Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$6M

John Heflin — Billing Profile & Reimbursement Data

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John Heflin — 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

Nearby Providers

Frequently Asked Questions

References