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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Colleen Hiebenthal (NPI 1538396064)

Field	Value
Entity Type	Individual
Organization	Colleen Hiebenthal
Address	Uss Comstock
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96662
Taxonomy	General Practice Physician
NPI Enumerated	June 11, 2009

Payer Source	Total Paid
Medicare	$43.4K
Medicaid	$0

Key Findings

This provider is effectively single-payer on file: Total Medicare revenue is $43.4K and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is heavily concentrated in Medicare, with no recorded state Medicaid activity to balance reimbursement risk or patient mix.

Revenue is highly concentrated in a very small set of services: the precomputed data show the top 3 Medicare codes by revenue account for 97.5% of this provider's total Medicare revenue. Those three codes—99285 ($33.4K, 77.2%), 99284 ($4.8K, 11.1%), and 99291 ($4K, 9.3%)—collectively drive nearly all billed Medicare dollars for this NPI.

The code mix (99285, 99284, and 99291 as the top revenue generators) points to an emergency/acute care practice footprint: 99285 and 99284 are emergency department E/M visits at high and moderate decision-making levels, and 99291 is billed for critical care services. Ancillary interpretive work such as 93010 is present but minor, indicating clinical activity is focused on point-of-care acute evaluation rather than longitudinal primary care.

99285 is the dominant single code for this provider, accounting for $33.4K (77.2%) of Medicare revenue; this concentration suggests the provider’s Medicare business is primarily built around high-acuity ED visits. Given that 99285 alone constitutes the majority of revenue, business or staffing decisions are likely driven by emergency-department workflows and high-acuity throughput.

National competitive standing across these codes is modest: 99285 ranks #10984 of 61347 providers nationally (82th percentile; typical, unremarkable volume), 99284 ranks #37113 of 64306 (41th percentile; typical, unremarkable volume), and 99291 ranks #53665 of 71290 (23th percentile; typical, unremarkable volume). These ranks indicate the provider is not a dominant national player for these services but sits within typical volume ranges for emergency and critical care billing patterns.

Supportive diagnostic work is a small portion of Medicare revenue: 93010 generated $1.1K (2.5% of Medicare revenue) and ranks #18268 of 50616 providers nationally (64th percentile; typical, unremarkable volume). This suggests EKG interpretation is an adjunct service rather than a distinct revenue center for the practice.

The provider has long-standing enrollment with an NPI enumerated 2009-06-11 (~17 years ago), yet lifetime Medicare revenue on file is limited to $43.4K. That combination — long tenure but low cumulative Medicare billing — is consistent with limited Medicare caseload, part-time/locum practice patterns, or an operational focus outside the Medicare population.

Because the top three codes account for 97.5% of Medicare revenue and there is no Medicaid activity, this NPI exhibits low diversification in both service lines and payers. Analysts should treat reimbursement exposure as concentrated in emergent and critical-care E/M services and consider that changes in ED/critical care demand or Medicare policy for those codes would disproportionately affect this provider's revenue profile.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	240	$140	$33.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	50	$100	$4.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$170	$4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	180	$10	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Colleen Hiebenthal — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	3	10	40	$150	$15.7K
99291	5	10	70	$180	$13.8K
99284	3	10	50	$100	$7.4K
93010	1	10	150	$10	$930

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Inc	FL	Emergency Medicine Physician	$0	$34.2M
Emergency Physicians Inc	GA	Emergency Medicine Physician	$0	$7.6M
Harpreet Singh	FL	Family Medicine Physician	$670.8K	$0
John Irwin	GA	Emergency Medicine Physician	$16.8K	$227.5K
NPI 1225109911	—	—	$107.2K	$0
Christopher Bishop	OH	Emergency Medicine Physician	$95.4K	$0
Adam Lewis	GA	Emergency Medicine Physician	$90K	$0
Michael Pinell	GA	Emergency Medicine Physician	$85.8K	$0
Donald Covington	FL	Surgery Physician	$84.4K	$0
William Long	SC	Emergency Medicine Physician	$82K	$0

Colleen Hiebenthal — Billing Profile & Reimbursement Data

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Colleen Hiebenthal — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References