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

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

Heather Hoops (NPI 1609219781)

Field	Value
Entity Type	Individual
Organization	Heather Hoops
Address	3550 Terrace Street Scaife Hall Room 651
City	Pittsburgh
State	PA
ZIP	15261
Taxonomy	Surgical Critical Care Physician
NPI Enumerated	April 9, 2013

Payer Source	Total Paid
Medicare	$11.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$4.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$60	$4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$2.2K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$70	$940
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	20	$30	$690

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Heather Hoops — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	2,720	3,800	40	$170	$11.7K
99232	6,091	10,870	80	$60	$9.6K
99222	4,896	7,850	30	$100	$4.3K
99221	1,063	1,500	20	$60	$1.7K
85390	9	10	60	$30	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grande Ronde Hospital, Inc.	OR	Critical Access Hospital	$0	$20.1M
William Pettit	OR	Ophthalmology Physician	$1.1M	$94K
David Mcnaul	MO	Diagnostic Radiology Physician	$269.4K	$0
Oliver Wisco	OR	MOHS-Micrographic Surgery Physician	$151.9K	$0
Steven Larsen	ID	Diagnostic Radiology Physician	$143.2K	$0
Paul Beck	CA	Surgery Physician	$117.2K	$12.7K
Kenneth Lightheart	UT	Cardiovascular Disease Physician	$122.5K	$0
Matthew Sigley	MO	Diagnostic Radiology Physician	$115.3K	$0
Matthew Allen	OR	Diagnostic Radiology Physician	$106.5K	$0
Jonathan Mcdougal	MA	Diagnostic Radiology Physician	$100.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Davidson	PA	Anesthesiology Physician	$12.2K	$815.3K
Christopher Owsiak	PA	Anesthesiology Physician	$65.7K	$0
Lloyd Barrera Allen	PA	Anesthesiology Physician	$23.7K	$3.9K
Mario Montoya	PA	Anesthesiology Physician	$16.1K	$8.5K
Vincent Cracolici	PA	Anatomic Pathology & Clinical Pathology Physician	$22.4K	$0
Heather Stevenson-lerner	PA	Anatomic Pathology & Clinical Pathology Physician	$14.7K	$0

Heather Hoops — Billing Profile & Reimbursement Data

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Heather Hoops — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References