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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Heinzelmann
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    Andrew Heinzelmann — Billing Profile & Reimbursement Data

    NPI 1548389455 · Fayetteville, AR · Sports Medicine (Orthopaedic Surgery) Physician

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    Andrew Heinzelmann is a sports medicine (orthopaedic surgery) physician provider located in Fayetteville, Arkansas. This profile covers 18 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
    OrganizationAndrew Heinzelmann
    Address3317 N Wimberly Dr
    CityFayetteville
    StateAR
    ZIP72703
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedMarch 29, 2007

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

    Payer SourceTotal Paid
    Medicare$169.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…50$1,000$50K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…50$720$33.1K
    99203The 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…220$70$15.7K
    99213The 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…220$60$12.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…260$40$10.7K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.500$20$10K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…40$190$7.8K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…80$80$6.6K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…50$120$5.8K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$310$5.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,0844,300130$70$18.8K
    2982725020$780$16.5K
    2347225020$710$16.3K
    2982882020$590$10.7K
    992131,0814,180100$50$9.6K
    206105342050$40$5.2K
    2982413020$260$5.1K
    992226631,02030$90$4.9K
    732212212030$60$3.6K
    99203541,59030$60$3.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles HanbyARAdult Reconstructive Orthopaedic Surgery Physician$471.7K$0
    Mark MiedemaARPain Medicine (Physical Medicine & Rehabilitation) Physician$276.6K$7.2K
    Jonathan CreechARAdult Reconstructive Orthopaedic Surgery Physician$200.2K$0
    George DeimelARPain Medicine (Physical Medicine & Rehabilitation) Physician$183.6K$8.1K
    Robert SandersonARPhysician Assistant$111K$0
    Jason PleimannAROrthopaedic Foot and Ankle Surgery Physician$89.9K$14.7K
    Jeffrey JohnsonAROrthopaedic Hand Surgery Physician$95.4K$7.9K
    Gannon RandolphAROrthopaedic Surgery of the Spine Physician$102.9K$0
    Dillon MurrayARPhysical Therapist$77.4K$0
    Christopher HenleyAROrthopaedic Hand Surgery Physician$62.7K$8.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanders, Tompkins, Schiro, Landers And Sanders PLLCARPediatric Dentistry$0$30.4M
    Children's Therapy Services, Inc.ARPediatric Physical Therapist$0$29.2M
    Life Styles Inc.ARCase Management Agency$0$19.6M
    Washington Regional Medical CenterARGeneral Acute Care Hospital$0$10.9M
    Cross Therapy Services, LtdARPediatric Occupational Therapist$0$5.8M
    Medical Associates Of Northwest Arkansas PAARPediatrics Physician$0$5.8M
    Oral & Facial Surgery Center PAAROral and Maxillofacial Surgery (Dentist)$0$4.8M
    Matthew LockwoodARHematology & Oncology Physician$4.2M$0
    Thomas A. Sarna, Dds PLLCAROral and Maxillofacial Surgery Clinic/Center$0$3.4M
    Washington Regional Medical SystemARHospitalist Physician$0$3.4M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arkansas Distribution
    Andrew Heinzelmann — 7 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas