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NPI 1548294663 · Totowa, NJ · Podiatrist
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Jon Heller is a podiatrist provider located in Totowa, New Jersey. This profile covers 15 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jon Heller |
| Address | 384 Union Blvd |
| City | Totowa |
| State | NJ |
| ZIP | 07512 |
| Taxonomy | Podiatrist |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $974.3K |
| Medicare | $258.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 1,140 | $90 | $96.8K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 590 | $110 | $65.1K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 1,610 | $40 | $59.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 120 | $80 | $9.2K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 100 | $90 | $8.4K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 160 | $30 | $4.9K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 40 | $90 | $3.4K |
| 99214 | The 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… | 20 | $100 | $2.5K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 80 | $30 | $2.3K |
| 29425 | The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. She forms the bottom of the cast to accommodate… | 30 | $60 | $1.6K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 12,127 | 13,640 | 130 | $90 | $23.6K |
| 11721 | 28 | 750 | 310 | $40 | $15.9K |
| 99213 | 6,144 | 14,090 | 100 | $70 | $13.1K |
| 11042 | 20 | 440 | 80 | $80 | $11.6K |
| 99204 | 6,394 | 7,160 | 40 | $130 | $6.5K |
| 97597 | 1 | 220 | 60 | $70 | $6.4K |
| 99203 | 924 | 5,660 | 40 | $80 | $4.8K |
| 10060 | 45 | 230 | 20 | $100 | $3.6K |
| 29425 | 10 | 10 | 30 | $70 | $3.5K |
| 20551 | 45 | 70 | 20 | $40 | $1.7K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 2,790 | $80 | $214.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,500 | $60 | $157.3K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 2,700 | $50 | $126.9K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 460 | $250 | $114.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 1,210 | $90 | $104.4K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 3,480 | $30 | $93.9K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 2,980 | $20 | $65.6K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 2,310 | $30 | $60K |
| 99212 | The 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,… | 640 | $30 | $19.1K |
| 29425 | The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. She forms the bottom of the cast to accommodate… | 200 | $60 | $11.2K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 46 | 110 | 340 | $200 | $461.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,336 | 4,450 | 740 | $40 | $229.8K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 18 | 100 | 220 | $170 | $218.5K |
| 99214 | The 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… | 3,647 | 3,790 | 580 | $60 | $204K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 268 | 1,460 | 150 | $80 | $97.8K |
| 99212 | The 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,… | 541 | 1,520 | 260 | $40 | $71.9K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 1 | 40 | 140 | $80 | $41.2K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 30 | 250 | 460 | $20 | $38.2K |
| 29425 | The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. She forms the bottom of the cast to accommodate… | 2 | 10 | 200 | $40 | $19K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 1 | 20 | 70 | $20 | $9K |
Showing 1–10 of 12
Other providers in the same ZIP code as Jon Heller, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| 2nd Home Totowa LLC | NJ | Adult Day Care Clinic/Center | $0 | $20.2M |
| Nextron Medical Technologies Inc. | NJ | Home Infusion Therapy Pharmacy | $0 | $15.4M |
| Vito Modugno | NJ | Oral and Maxillofacial Surgery (Dentist) | $0 | $9.2M |
| Totowa Pediatric Group, P.A. | NJ | Pediatrics Physician | $0 | $8.1M |
| Safeway Medical Tranportation LLC | NJ | Land Ambulance | $2.7M | $161.3K |
| Marzena Odorczuk | NJ | Internal Medicine Physician | $213.1K | $0 |
| Shaan Kataria | NJ | Radiation Oncology Physician | $166.6K | $0 |
| Sean Santagato | NJ | Physical Therapist | $162.7K | $0 |
| Eugene Batelli | NJ | Foot & Ankle Surgery Podiatrist | $161K | $0 |
| Michael Klele | NJ | Family Medicine Physician | $115K | $0 |
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