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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Heller
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    Justin Heller — Billing Profile & Reimbursement Data

    NPI 1639373590 · Lancaster, CA · Plastic Surgery Physician

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    Justin Heller is a plastic surgery physician provider located in Lancaster, California. This profile covers 19 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
    OrganizationJustin Heller
    Address42135 10th St W
    CityLancaster
    StateCA
    ZIP93534
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedJune 13, 2007

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

    Payer SourceTotal Paid
    Medicare$132.7K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…40$680$25.9K
    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…270$70$19.8K
    26125In this add on procedure to palmar fasciectomy, the provider surgically releases constriction in an additional finger, including the middle joint of that finger. Treatment may include Z–plasty,…80$220$17.7K
    99214The 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…110$110$11.6K
    99204The provider sees a new 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 provider…60$140$7.8K
    25312The provider transfers a tendon from one location in the forearm or wrist to another to replace a damaged or diseased tendon and restore motion of the hand. He harvests and applies a graft.20$340$7.5K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…20$350$7.3K
    20604In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to…100$70$6.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…20$190$3.9K
    64708In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…20$220$3.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419,53237,970120$90$23.2K
    140408518020$610$23K
    2612334020$1,000$18K
    6472114024020$510$17.7K
    64727510120$150$15.9K
    992136,82634,66080$70$13.2K
    2061169288070$90$13.2K
    6470881020$230$13.1K
    2531221030$500$12.6K
    2612511030$220$9.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Tom ChangCARetina Specialist (Ophthalmology) Physician$2.1M$1.2K
    Kanagaratnam SivalingamCAGeriatric Medicine (Internal Medicine) Physician$1M$0
    Oussama BoundaouiILOphthalmology Physician$908.4K$0
    Thomas NasserCAPhysical Medicine & Rehabilitation Physician$864.5K$380
    Lucius BlanchardNVMOHS-Micrographic Surgery Physician$723.5K$99.5K
    Xiao WanCAInternal Medicine Physician$660.8K$12K
    Jatinder PruthiCAGastroenterology Physician$609.7K$0
    Orlando PenaCAPhysical Medicine & Rehabilitation Physician$602.1K$0
    Jasbir SandhuCASpecialist$578K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Antelope Valley Health Care DistrictCAGeneral Acute Care Hospital$0$222.3M
    Antelope Valley Emergency Medical Associates IncCAEmergency Medicine Physician$0$31.3M
    American Medical Response Of Southern CaliforniaCAAmbulance$3.7M$27M
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$25.5M
    Advanced Endoscopy And Pain Center LLCCAAmbulatory Surgical Clinic/Center$972.5K$4.4M
    Embassy Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.9M$55.5K
    Antelope Valley Outpatient Imaging Center, LLCCADiagnostic Radiology Physician$1.4M$182.8K
    Apollo Surgery Center LLCCAAmbulatory Surgical Clinic/Center$488.9K$648.9K
    Mark BellerCADiagnostic Radiology Physician$1.1M$510
    Ray HashemiCADiagnostic Radiology Physician$756.1K$0

    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. California Distribution
    Justin Heller — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California