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

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

Steven Heddinger (NPI 1750344743)

Field	Value
Entity Type	Individual
Organization	Steven Heddinger
Address	411 Laurel St Ste A300
City	Des Moines
State	IA
ZIP	50314
Taxonomy	Medical Oncology Physician
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicare	$830.4K
Medicaid	$0

Key Findings

This profile is for a Medical Oncology Physician in Des Moines enumerated on 2006-04-10 (~20 years ago) with total Medicare revenue of $830.4K and no Medicaid billing on file. The absence of Medicaid activity makes this effectively a single‑payer (Medicare) revenue profile and concentrates the provider’s reimbursement exposure on Medicare payment policies and drug reimbursement rules.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 81.0% of this provider’s Medicare revenue. Those top drivers are J9271 ($455.8K, 56.1%), J0897 ($117.7K, 14.5%), and 99214 ($84.3K, 10.4%), together representing the bulk of billed dollars to Medicare.

The code mix and volumes point to an office-based oncology infusion practice focused on high-cost biologic and immunotherapy agents. J9271 (pembrolizumab) has 10.6K claims and J0897 (denosumab) has 6.5K claims, supported by chemotherapy/infusion administration codes such as 96413 (217 claims) and 96365 (46 claims), which together indicate routine in-office administration of systemic cancer therapies.

Competitive standing varies by service line: J9271 is reported at a national rank of #1102 of 1841 providers (39th percentile) and is described as typical, unremarkable volume, so the provider is not a national leader on pembrolizumab by volume. By contrast 99214 is at rank #13082 of 479517 providers (97th percentile) and labeled notably above typical national volume, signaling above-average office visit management activity relative to peers.

Ancillary clinical services contribute modestly but consistently to revenue and operational workflows. Lab and specimen codes such as 80053 (731 claims, $7.3K) and 85025 (830 claims, $6.6K), plus supportive infusion codes like 96367 (286 claims, $6K), suggest on-site testing and infusion support are part of the practice’s service mix rather than separate referral-only arrangements.

The provider’s Medicare revenue scale ($830.4K) combined with long tenure (NPI enumerated 2006-04-10 (~20 years ago)) points to an established, modestly sized oncology practice that relies heavily on a small set of high-revenue drug codes. Given that top drug and E/M codes drive most revenue, changes in Medicare reimbursement for these specific codes could materially affect the practice’s financials.

Absence of Medicaid billing (none on file) implies minimal engagement with state Medicaid programs and limited exposure to Medicaid rate schedules or managed‑Medicaid contracting. Payers and network analysts should therefore treat this entity primarily as a Medicare-centric provider when evaluating network adequacy, reimbursement negotiations, or competitive positioning in the market.

Medicare: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	10,600	$40	$455.8K
J0897	Injection, denosumab, 1 mg	6,540	$20	$117.7K
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…	950	$90	$84.3K
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…	220	$90	$20.4K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	130	$130	$17.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$90	$16.7K
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…	280	$60	$16.3K
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…	100	$130	$12.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	730	$10	$7.3K
99205	The provider sees a new 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 provider…	50	$150	$6.8K

Showing 1–10 of 52

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Steven Heddinger — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

52 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	21	30	17,200	$40	$902.3K
J0897	31	190	1,920	$20	$74.1K
96413	37	80	210	$90	$24K
J9217	29	50	140	$130	$23.4K
J0185	10	20	6,890	$1	$14.5K
99214	91	4,690	100	$70	$14.4K
99233	171	910	60	$90	$10.5K
99232	877	1,740	80	$60	$9.3K
99213	683	4,740	100	$50	$8K
Q0138	11	10	15,810	$1	$7.5K

Showing 1–10 of 52

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State University Of Iowa	IA	Family Medicine Physician	$0	$103.8M
State University Of Iowa	IA	General Acute Care Hospital	$0	$90.4M
State University Of Iowa	IA	Dentist	$0	$25.8M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
State University Of Iowa	IA	Dentist	$0	$5.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Broadlawns Medical Center	IA	General Acute Care Hospital	$0	$112.9M
Catholic Health Initiatives-iowa Corp	IA	General Acute Care Hospital	$0	$26.4M
Des Moines Independent Community School District	IA	Local Education Agency (LEA)	$0	$22.8M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$14.1M
Broadlawns Medical Center	IA	Community/Behavioral Health Agency	$0	$13.2M
Mercy Clinics Inc	IA	Pediatric Adolescent Medicine Physician	$0	$10.7M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$8.1M
Catholic Health Initiatives-iowa Corp	IA	Clinical Medical Laboratory	$0	$8M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$7.9M
Vita Health Services	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.5M

Steven Heddinger — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References