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

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

Katharine Heatwole (NPI 1740256387)

Field	Value
Entity Type	Individual
Organization	Katharine Heatwole
Address	596 Lynnhaven Pkwy Ste 100
City	Virginia Beach
State	VA
ZIP	23452
Taxonomy	Neurology Physician
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicare	$73.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	380	$150	$56.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$90	$10K
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…	80	$60	$4.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	$130	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Katharine Heatwole — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90868	3	10	360	$140	$60.8K
99213	6,866	12,440	90	$60	$10K
99215	787	4,030	40	$120	$9.5K
90792	121	220	30	$120	$8.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Sauve	CA	Psychiatry Physician	$197.8K	$0
Geoffrey Grammer	MD	Psychiatry Physician	$122.9K	$0
Siddharth Bajpai	VA	Psychiatry Physician	$95.7K	$0
Kendall Dupree	DE	Psychiatry Physician	$0	$85.6K
Sharon Rhodes	VA	Family Nurse Practitioner	$65.7K	$1.4K
Mark Schreiber	VA	Psychiatry Physician	$63.7K	$0
Nishant Parikh	VA	Psychiatry Physician	$21.4K	$0
Candace Lankford	VA	Psychiatric/Mental Health Nurse Practitioner	$9.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Support Services Of Virginia, Inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$76.1M
Crescent Counseling & Casework Services Inc.	VA	Community/Behavioral Health Agency	$0	$25.3M
Hope Care & Love Home Healthcare Services LLC	VA	Home Health Agency	$0	$19M
Rehabilitation Associates Inc	VA	Pediatric Physical Therapist	$0	$18.2M
Family First Home Healthcare ,LLC	VA	Home Health Agency	$0	$17.4M
Seven Summits Family Services, LLC	VA	Community/Behavioral Health Agency	$0	$9.9M
Circle Of Life, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.3M
Right Path Treatment Center LLC	VA	Addiction Medicine (Internal Medicine) Physician	$0	$9M
Reign Integrated Services	VA	Behavior Analyst	$0	$8.3M
C & R Divine Hands Of Care	VA	Home Health Agency	$0	$8.1M

Katharine Heatwole — Billing Profile & Reimbursement Data

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Katharine Heatwole — 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