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

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

Douglas Vanheel (NPI 1528281748)

Field	Value
Entity Type	Individual
Organization	Douglas Vanheel
Address	2541 Pass Rd
City	Biloxi
State	MS
ZIP	39531
Taxonomy	Specialist
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicare	$121.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	3,070	$20	$58.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,270	$20	$36.4K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	530	$20	$11.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	490	$20	$7.4K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	70	$60	$4.5K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	470	$10	$2.8K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	20	$60	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Douglas Vanheel — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	112	710	800	$20	$20.3K
97112	4	480	330	$20	$9.7K
97140	125	540	210	$20	$5.9K
97162	42	320	30	$70	$2.8K
97750	1	10	40	$20	$1.8K
G0283	50	340	160	$10	$1.7K
97163	32	50	20	$70	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$16.2M
Painstop Spine Clinic, LLC	MS	Interventional Pain Medicine Physician	$0	$4.6M
Gulf Shores Adult Day Care	MS	Adult Day Care Clinic/Center	$0	$3.7M
Mitchell Gruich	MS	Pediatrics Physician	$0	$2.3M
Tri County Eye Clinic, PLLC	MS	Ophthalmology Physician	$0	$1.7M
Anne Baranano	MS	Retina Specialist (Ophthalmology) Physician	$1.7M	$530
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Building Behaviors Counseling Services, LLC	MS	Mental Health Counselor	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Evelyn Collier	MS	General Practice Dentistry	$0	$1.4M

Douglas Vanheel — Billing Profile & Reimbursement Data

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

Douglas Vanheel — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References