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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Joseph Heron (NPI 1629639976)

Field	Value
Entity Type	Individual
Organization	Joseph Heron
Address	18 E Laurel Rd
City	Stratford
State	NJ
ZIP	08084
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 27, 2019

Payer Source	Total Paid
Medicare	$75.6K
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
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.	390	$90	$34.8K
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.	260	$130	$33.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	90	$50	$4.4K
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	$160	$2.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	40	$10	$250

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. New Jersey Distribution

Joseph Heron — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	379	1,510	130	$150	$25.3K
99291	1,727	1,970	50	$180	$16.1K
99284	5	1,560	60	$100	$7.7K
93010	829	1,020	230	$10	$2.9K
99283	9	890	20	$50	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mother Frances Hospital Regional Health Care Center	TX	General Acute Care Hospital	$0	$32.9M
Emergency Physician Associates Of South Jersey P C	NJ	Emergency Medicine Physician	$0	$30.6M
Christus Trinity Clinic Texas	TX	Family Medicine Physician	$0	$22.2M
Small Hospital Innovations LLC	FL	Emergency Medicine Physician	$0	$9.1M
Emergency Physician Services Of New Jersey,professional Association	NJ	Emergency Medicine Physician	$0	$8M
Andre Bonnet	NJ	Emergency Medicine Physician	$448.2K	$9.9K
Ugwuala Nwauche	NC	Internal Medicine Physician	$371.1K	$0
Taryn Hope	TX	Physician Assistant	$332.4K	$0
Ruslan Ivanov	FL	Emergency Medicine Physician	$267.9K	$0
Michael Smith	TX	Family Medicine Physician	$260.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennedy University Hospital Inc.	NJ	General Acute Care Hospital	$0	$209.2M
Judith Lightfoot	NJ	Infectious Disease Physician	$647.5K	$0
Donna Simmers-dabinett	NJ	Emergency Medicine Physician	$180.1K	$0
Niels Snyder	NJ	Student in an Organized Health Care Education/Training Program	$167.9K	$0
Andrew Caravello	NJ	Internal Medicine Physician	$152.8K	$0
Deanna Janora	NJ	Physical Medicine & Rehabilitation Physician	$107.5K	$0
Edgardo Navarro	NJ	Gerontology Nurse Practitioner	$103.5K	$0
Jonathan Martinez Dalmasi	NJ	Internal Medicine Physician	$98.5K	$0
Kimberly Covington	NJ	Adult Health Nurse Practitioner	$93K	$0
Jonas Salna	NJ	Emergency Medicine Physician	$68.9K	$0

Joseph Heron — Billing Profile & Reimbursement Data

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Joseph Heron — 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