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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Heacock
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    Michael Heacock — Billing Profile & Reimbursement Data

    NPI 1699932327 · Asheville, NC · Gastroenterology Physician

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    Michael Heacock is a gastroenterology physician provider located in Asheville, North Carolina. This profile covers 25 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
    OrganizationMichael Heacock
    Address291 Sweeten Creek Road
    CityAsheville
    StateNC
    ZIP28803
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 20, 2008

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

    Payer SourceTotal Paid
    Medicare$258.9K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg6,600$20$112.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…160$200$32.7K
    J1745Injection, infliximab, excludes biosimilar, 10 mg830$30$21.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…500$40$17.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…290$50$13.7K
    99203The provider sees a new 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 provider…120$70$8.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.110$60$7K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…70$90$6.6K
    91010The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.30$160$4.6K
    99222The 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…50$100$4.4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J338013306,300$20$171.4K
    J174573804,110$30$117.3K
    4538510556070$290$33.4K
    9641320428090$90$15.8K
    4538015652040$180$13.7K
    G010527234030$270$12.4K
    4323913256060$120$11K
    99490180750120$40$10.3K
    432496417030$270$9.7K
    G012115726020$280$8.1K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Endoscopy Center Of North CarolinaNCAmbulatory Surgical Clinic/Center$1.7M$909.9K
    Jason SprouseNCAnatomic Pathology & Clinical Pathology Physician$470.5K$0
    Andrew RackoffNCGastroenterology Physician$339.6K$0
    David RybnicekNCGastroenterology Physician$293.8K$0
    Norman ClarkNCGastroenterology Physician$274.9K$0
    Brendon O'connellNCGastroenterology Physician$249.1K$0
    Rodney PerezNCGastroenterology Physician$232.4K$0
    David MayNCGastroenterology Physician$228.5K$0
    Andrew DukowiczNCGastroenterology Physician$225.1K$0
    Kendral AdkissonNCGastroenterology Physician$187.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Rehabilitation Specialists, Inc.NCSpeech-Language Pathologist$0$26.1M
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$17.5M
    The Bair FoundationNCFoster Care Agency$0$17.3M
    The Arc Of North CarolinaNCCommunity/Behavioral Health Agency$0$14.6M
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$14.3M
    Tender Loving Care Homes, Inc.NCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.1M
    Asheville Pediatric AssociatesNCPediatrics Physician$0$10.9M
    Asheville Children's Medical Center, P.A.NCPediatrics Physician$0$9.4M
    Crossroads Treatment Centers Of Asheville, PCNCMulti-Specialty Clinic/Center$81.2K$6.5M
    Orthopaedic Surgery Center Of Asheville, LPNCAmbulatory Surgical Clinic/Center$5.1M$11.7K

    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. North Carolina Distribution
    Michael Heacock — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina