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NPI 1730132945 · Chicago, IL · Orthopaedic Surgery Physician
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William Heller is a orthopaedic surgery physician provider located in Chicago, Illinois. This profile covers 15 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | William Heller |
| Address | 2850 S Wabash Ave |
| City | Chicago |
| State | IL |
| ZIP | 60616 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $49K |
| Medicaid | $31K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 130 | $90 | $12K |
| 99204 | The 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… | 80 | $120 | $9.8K |
| 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… | 100 | $70 | $6.9K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 100 | $60 | $5.4K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 110 | $30 | $3.1K |
| 20551 | The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon. | 60 | $40 | $2.5K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 80 | $30 | $2K |
| 99203 | The 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… | 20 | $90 | $1.8K |
| 20526 | The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and… | 30 | $70 | $1.8K |
| 20600 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 30 | $40 | $1.1K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 8,514 | 18,540 | 110 | $80 | $17.1K |
| J1020 | 20 | 20 | 90 | $1 | $9.5K |
| 99213 | 7,150 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 593 | 1,550 | 60 | $50 | $7.6K |
| 99204 | 1,451 | 8,580 | 30 | $110 | $5.6K |
| 99203 | 4,093 | 6,150 | 30 | $70 | $3.8K |
| 20526 | 25 | 60 | 20 | $70 | $2.3K |
| 20600 | 131 | 240 | 30 | $40 | $1.6K |
| 20551 | 8 | 50 | 20 | $40 | $1.4K |
| 73030 | 402 | 1,420 | 50 | $20 | $1.2K |
Showing 1–10 of 15
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.
6 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… | 230 | $50 | $11.3K |
| 99204 | The 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… | 170 | $60 | $10.8K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 160 | $40 | $5.7K |
| 99203 | The 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… | 90 | $30 | $2.5K |
| 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 | $10 | $700 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 30 | $10 | $200 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
6 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… | 8,092 | 14,680 | 300 | $50 | $48.7K |
| 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… | 10,989 | 14,190 | 280 | $20 | $38.9K |
| 99204 | The 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… | 769 | 2,800 | 60 | $80 | $17.7K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 136 | 320 | 120 | $40 | $14.7K |
| 99203 | The 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… | 1,537 | 3,270 | 80 | $40 | $11.1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 62 | 90 | 90 | $10 | $1.8K |
Other providers in the same ZIP code as William Heller, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carlos Garcia | IL | Anatomic Pathology & Clinical Pathology Physician | $0 | $3.6M |
| Shirley Wong | IL | Internal Medicine Physician | $234.5K | $2M |
| Family Guidance Centers, Inc. | IL | Methadone Clinic | $123.8K | $2.1M |
| Pravin Muniyappa | IL | Allergy & Immunology Physician | $29.7K | $1.3M |
| Rinku Shah | IL | Family Medicine Physician | $43.9K | $873.2K |
| Michelle Zeng | IL | Internal Medicine Physician | $248K | $139.2K |
| Charles Perrott | IL | Surgery Physician | $369.9K | $0 |
| Julie Rothschild | IL | Emergency Medicine Physician | $241.4K | $51.5K |
| Heidi Brookenthal | IL | Family Medicine Physician | $42.8K | $201.7K |
| Najma Papa | IL | Internal Medicine Physician | $221.4K | $10.4K |
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