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    OpenPayerNPI Medicare & MedicaidRobert Heath
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    Robert Heath — Billing Profile & Reimbursement Data

    NPI 1538133368 · Sioux Falls, SD · Foot Surgery Podiatrist

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    Robert Heath is a foot surgery podiatrist provider located in Sioux Falls, South Dakota. This profile covers 11 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Heath
    Address3217 S Carolyn Ave
    CitySioux Falls
    StateSD
    ZIP57106
    TaxonomyFoot Surgery Podiatrist
    NPI EnumeratedFebruary 16, 2006

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

    Payer SourceTotal Paid
    Medicare$54.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    28288The provider removes part of a single metatarsal head of the foot. The bone removal might involve the metatarsal head, called condylectomy, or any associated bony growth, called exostectomy.90$200$17.2K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.60$140$7.7K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…120$50$5.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…130$40$5K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.220$20$4.1K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.40$90$3.7K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$180$3.2K
    28120In this procedure, the provider removes the infected portion of the talus or calcaneus bone using craterization, saucerization, or diaphysectomy.10$250$3K
    64704In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a nerve in a hand or foot. The nerves of the hand or foot include both…20$120$2.5K
    28045The provider excises an abnormal mass from within the muscles of the foot or toe. He submits the specimen, less than 1.5 cm in size, to a laboratory for analysis to determine its nature.10$140$1.7K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2828811090$200$17.2K
    2828511030$150$5.6K
    1175052020$90$3.2K
    2068011020$180$3.2K
    2812011010$250$3K
    6470411020$120$2.5K
    2804511010$140$1.7K
    2807011010$120$1.7K
    992123144030$30$1.7K
    9920248020$40$1.5K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Universal Nursing Services, LtdSDHome Health Agency$0$33.2M
    Independent Living ChoicesSDHome Health Agency$0$13M
    Edgewood Prairie Crossings Sioux FallsSDAssisted Living Facility$0$1.8M
    Children's Care Hospital And SchoolSDRehabilitation Hospital$0$1.8M
    Kore Cares, LLCSDHome Health Agency$0$1.3M
    Weber Home Care Services LLCSDHome Health Agency$0$1.3M
    Stronghold Counseling Services IncSDCounselor$0$1.1M
    Avera MckennanSDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.1M
    Gpps LLCSDMulti-Specialty Clinic/Center$0$836.4K
    North Central Eye, Inc.SDClinic/Center$0$764.5K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Robert Heath — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota