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

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

Douglas Heldreth (NPI 1699766378)

Field	Value
Entity Type	Individual
Organization	Douglas Heldreth
Address	2828 Tarflower Way
City	Naples
State	FL
ZIP	34105
Taxonomy	Medical Oncology Physician
NPI Enumerated	November 2, 2005

Payer Source	Total Paid
Medicare	$3.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	37,800	$40	$1.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	11,820	$40	$425.5K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	9,180	$40	$348.8K
J0897	Injection, denosumab, 1 mg	10,800	$20	$194.4K
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…	1,120	$100	$108.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	670	$100	$68.3K
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…	480	$70	$32.6K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	4,180	$10	$25.1K
J1439	Injection, ferric carboxymaltose, 1 mg	21,750	$1	$21.8K
J1437	Injection, ferric derisomaltose, 10 mg	1,200	$20	$20.4K

Showing 1–10 of 51

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Douglas Heldreth — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

51 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	11	210	16,100	$40	$802.7K
J9144	36	80	9,000	$40	$410.6K
J1569	4	130	4,080	$40	$176.2K
J0897	164	1,060	3,290	$20	$106.5K
J1437	103	110	2,700	$20	$59.9K
J0885	155	240	6,630	$10	$45.6K
J1439	60	100	24,750	$1	$29.5K
96413	51	730	200	$100	$26.1K
99214	1,508	32,760	140	$90	$25K
J9217	252	360	120	$130	$18.7K

Showing 1–10 of 51

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Cancer Specialists & Research Institute, LLC	FL	Medical Oncology Physician	$0	$63.5M
Wilfredo Blasini	FL	Clinical Pathology Physician	$16.9M	$307.9K
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
Christopher Lobo	FL	Medical Oncology Physician	$6.1M	$0
Syed Zafar	FL	Medical Oncology Physician	$6M	$0
Ronald Goodwich	FL	Nuclear Medicine Physician	$5.7M	$0
Steven Newman	FL	Medical Oncology Physician	$5.7M	$0
Andrew Lipman	FL	Medical Oncology Physician	$5.6M	$0
Vijay Patel	FL	Medical Oncology Physician	$4.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Muller	FL	Medical Oncology Physician	$1.9M	$0
Matthew Baker	FL	Neurology Physician	$1.3M	$0
Gary Colon	FL	Neurological Surgery Physician	$999.3K	$0
Krystal Smith	FL	Vascular & Interventional Radiology Physician	$482.8K	$0
Dewayne Lockhart	FL	Pain Medicine (Anesthesiology) Physician	$401.4K	$0
David Krueger	FL	Physical Medicine & Rehabilitation Physician	$343.7K	$0
Christopher Mendello	FL	Pulmonary Disease Physician	$222.6K	$0
Sharla Patterson	FL	Surgery Physician	$199.1K	$0
Steven Smith	FL	Clinical Neuropsychologist	$162.6K	$0
David Cox	FL	Clinical Neuropsychologist	$130.7K	$0

Douglas Heldreth — Billing Profile & Reimbursement Data

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Douglas Heldreth — 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