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NPI 1679928055 · Apo, AE · Family Medicine Physician
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Mark Heino is a family medicine physician provider located in Apo, Armed Forces Europe. This profile covers 8 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mark Heino |
| Address | 48 Mdg / Raf Lakenheath |
| City | Apo |
| State | AE (Armed Forces Europe) |
| ZIP | 09461 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | May 4, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $136.8K |
| Medicare | $31.3K |
This clinician’s billing profile is concentrated in office-based primary care: Medicare revenue is driven by 99214, G0439, and 99213, which together account for 77.2% of the provider's total Medicare revenue. The code mix (high-volume established-patient E/M codes plus an annual wellness visit) indicates routine longitudinal primary care with some emphasis on preventative services. Vaccination administration codes (91320, 90694, G0008) and a home-health certification code (G0180) supplement that core practice activity.
Medicaid revenue is even more concentrated in primary care E/M services: 99214, 99213, and 87428 make up 87.3% of this provider's total Medicaid revenue, with 99214 alone accounting for $65.3K (47.8%) and 99213 $45.8K (33.5%). This heavy reliance on mid- and lower-level established-patient visits suggests the practice’s Medicaid operations are primarily ambulatory primary care rather than procedure-driven specialties. The presence of testing codes in the top three (87428) also signals routine in-office respiratory testing as part of episodic visits.
The payer mix is skewed toward Medicaid in scale: lifetime Medicaid revenue is $136.8K versus $31.3K in Medicare, indicating Medicaid is the dominant payer for this provider. This imbalance suggests the practice’s patient panel or site of care serves a larger Medicaid population, and reimbursement exposure is more concentrated on Medicaid payment rates and policies. Analysts should view operational performance through a Medicaid-first lens given the revenue disparity.
Competitively, the provider is a modest national participant on Medicare E/M codes: 99214 ranks in the mid-range nationally (described as typical, unremarkable volume) and 99213 and G0439 also show typical national volumes. Those percentiles and rank positions indicate the provider is not a high-volume national outlier for these Medicare services but operates at an expected level for a community family medicine clinician. In contrast, the provider’s Medicaid standing is stronger in-state: 99213 ranks #1 of 5 providers in-state (notably above typical state volume) and 99214 ranks #2 of 5 (75th percentile), pointing to a leading role in routine established-patient visits within the state.
Several Medicaid codes (87428, 87426, 87804, 87880, S9088 and others) are listed as #1 of 1 providers in-state with a note that no state peer volume comparison is available. This pattern indicates the provider is the only in-state reporter of many rapid test and urgent-care–related codes in the dataset, implying in-office point-of-care testing and urgent care–style visits are part of the practice’s service mix. Because those entries lack peer comparators, their state-level competitive meaning is limited but operationally important.
Service-line detail supports a mixed primary care and ambulatory urgent-care footprint: high volumes of 99214 and 99213 combined with S9088 (urgent care services) and multiple rapid-test lab codes point to a practice that delivers both scheduled chronic/acute primary care and walk-in or episodic testing/urgent care services. Vaccine administration codes on Medicare (91320, 90694, G0008, 90480) further reinforce a preventive care capability. Payers and network planners should consider this as a family medicine practice offering comprehensive outpatient services including vaccinations and point-of-care diagnostics.
Revenue concentration metrics highlight operational risk and opportunity: with the top three Medicare codes accounting for 77.2% of Medicare revenue and the top three Medicaid codes accounting for 87.3% of Medicaid revenue, changes in utilization patterns or reimbursement for these few codes would have outsized effects on total revenue. For payers evaluating value-based arrangements or bundled payments, the provider’s exposure to routine E/M codes and in-office testing should be a focal point for negotiation and quality alignment.
The provider has an established enrollment history, with an NPI enumerated on 2016-05-04 (~10 years ago), signaling multi-year presence in the market. That tenure, combined with the Medicaid-dominant revenue mix and leading in-state position on 99213, suggests the practice is stable and has developed a consistent ambulatory patient panel over several years, which may support network inclusion or targeted care-management programs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 170 | $80 | $13.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $120 | $7.5K |
| 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… | 50 | $60 | $3K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 20 | $130 | $2.4K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 30 | $80 | $2.2K |
| G0008 | Administration of influenza virus vaccine | 30 | $30 | $960 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 20 | $40 | $800 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 20 | $40 | $740 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 880 | $70 | $65.3K |
| 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… | 830 | $60 | $45.8K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 140 | $60 | $8.2K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 220 | $30 | $7.5K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 270 | $20 | $4.2K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 120 | $30 | $3.3K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 160 | $10 | $2.1K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 70 | $1 | $220 |
| 3078F | No Summary found for this code | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.
Full comparison — all codes billed, vs. Armed Forces Europe median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2 | 10 | 170 | $70 | $32.1K |
| 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 | 10 | 30 | $50 | $11.3K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 1 | 10 | 140 | $60 | $8.2K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 1 | 10 | 220 | $30 | $7.6K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 1 | 10 | 270 | $20 | $4.3K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 1 | 10 | 120 | $30 | $3.3K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 1 | 10 | 160 | $10 | $2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1 | 10 | 70 | $1 | $220 |
| 3078F | No Summary found for this code | 1 | 10 | 10 | $0 | $0 |
Other providers in the same ZIP code as Mark Heino, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Joshua Latham | AE (Armed Forces Europe) | Family Medicine Physician | $84.3K | $0 |
| Immacula Nezier | AE (Armed Forces Europe) | Women's Health Nurse Practitioner | $68.4K | $0 |
| Delila Donaldson | AE (Armed Forces Europe) | Clinical Social Worker | $18.2K | $36.4K |
| Eric Butters | AE (Armed Forces Europe) | Family Nurse Practitioner | $2.6K | $18.5K |
| Linda Schemm | AE (Armed Forces Europe) | Physical Therapist | $19.5K | $0 |
| Hilary Stamp | AE (Armed Forces Europe) | Pediatrics Physician | $0 | $19.1K |
| Samuel Kjome | AE (Armed Forces Europe) | Family Medicine Physician | $16.2K | $0 |
| Michelle Sanger | AE (Armed Forces Europe) | Physician Assistant | $13.9K | $0 |
| Claire Schmidt | AE (Armed Forces Europe) | Optometrist | $13.8K | $0 |
| Jennifer Chow | AE (Armed Forces Europe) | Child & Adolescent Psychiatry Physician | $10.7K | $0 |
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