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    OpenPayerNPI Medicare & MedicaidSteffen Hillemann
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    Steffen Hillemann — Billing Profile & Reimbursement Data

    NPI 1821056912 · South Burlington, VT · Cardiovascular Disease Physician

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    Steffen Hillemann is a cardiovascular disease physician provider located in South Burlington, Vermont. This profile covers 27 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
    OrganizationSteffen Hillemann
    Address364 Dorset St
    CitySouth Burlington
    StateVT
    ZIP05403
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 1, 2006

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

    Payer SourceTotal Paid
    Medicare$171.2K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: Total Medicare revenue is $171.2K and there is no Medicaid billing on file (listed as "none below"). That concentration means Medicare drives the entire documented public-payer footprint and any payer-analysis should treat this as a Medicare-focused practice.

    Revenue is highly concentrated in a few services: the top three Medicare codes (99214, 93306, 78452) account for 52.1% of this provider’s total Medicare revenue. Individually those codes generated $36.8K (99214, 21.5%), $26.4K (93306, 15.4%), and $25.8K (78452, 15.1%), so a small set of office visits and cardiac imaging services dominate receipts.

    The code mix points to a cardiology practice built around outpatient evaluation and diagnostic cardiac testing with some procedural capability. High revenue from 99214 (office E/M), 93306 (transthoracic echocardiography), and 78452 (cardiac SPECT) — together with A9500 (technetium) and J2785 (regadenoson) — indicates routine noninvasive imaging and nuclear stress testing; presence of 92928, 93458, and 93571 shows the provider also bills for interventional coronary procedures and imaging supervision, suggesting participation in cath lab activity or inpatient procedural work.

    On competitive standing, this provider is a modest national participant for most top services rather than a dominant player: 93306 ranks #12814 of 24624 providers nationally (48th percentile, described as "typical, unremarkable volume for this code"), 78452 ranks #5527 of 14946 (62th percentile, "typical, unremarkable volume for this code"), and 92928 ranks #2252 of 5112 (53th percentile, "typical, unremarkable volume for this code"). These midrange percentiles imply the provider operates at a commonplace volume level compared with national peers for core cardiology procedures.

    There are a couple of notable statistical outliers in the activity mix: 93000 (ECG recording with interpretation) appears at 588 claims and $5.3K revenue and ranks #4096 of 71016 providers nationally (94th percentile), characterized explicitly as "notably above typical national volume for this code." By contrast 99214 is relatively high-ranked at #55952 of 479517 (88th percentile) but is still labeled "typical, unremarkable volume for this code," indicating the practice sees a busy but not atypical number of established-office visits for cardiology.

    Operationally the provider generates heavy encounter and monitoring volume: 99214 shows 460 claims and 93000 shows 588 claims, which aligns with a workflow centered on frequent clinic visits plus routine ECGs and ambulatory monitoring services. The presence of multiple monitoring and interpretation codes (93248, 93246, 93244, 93225, 93227) further supports a practice that combines clinic-based evaluation with extended ECG/ambulatory heart-rhythm services.

    The provider has long tenure in the Medicare system, with NPI enumeration dated 2006-05-01 (~20 years ago). That extended enrollment period suggests an established practice and potential longstanding referral relationships or institutional affiliations that underpin the documented service mix.

    The complete absence of Medicaid billing ("none below") has contract and population implications: the provider’s documented revenue and service-line exposure are concentrated in Medicare beneficiaries, which may limit visibility into care patterns for younger or Medicaid-eligible populations and increases payer-concentration risk for analyses focused on public programs. Payers and network managers should treat this profile as Medicare-centric when considering credentialing, rate negotiations, or access planning.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…460$80$36.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…210$130$26.4K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$320$25.8K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose160$90$15K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$380$10.6K
    J2785Injection, regadenoson, 0.1 mg190$40$8.3K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…130$50$6.4K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$150$6.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…590$10$5.3K
    99213The 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…90$50$4.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933061920480$50$22.6K
    A9500110160$90$14.9K
    9292851030$390$13.4K
    992144696090$70$10.6K
    J2785210200$40$8.4K
    9923311122050$90$8K
    9921533041040$110$7.2K
    9923218232060$60$7.1K
    7845282080$80$6.8K
    9921340691080$50$6.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Copley Hospital, Inc.VTCritical Access Hospital$0$525.5K
    Jeffrey HarrisGAObstetrics & Gynecology Physician$4.5K$282.4K
    Janet KirwanVTCardiovascular Disease Physician$175.6K$0
    Innocent EzenwaNVSleep Medicine (Internal Medicine) Physician$90.6K$0
    Veronika JedlovszkyVTPulmonary Disease Physician$88.6K$0
    Philip KielyVTFamily Medicine Physician$87.4K$0
    Kevin CareyVTCardiovascular Disease Physician$86.1K$0
    Daniel WolfsonVTEmergency Medicine Physician$72.1K$0
    Jennifer PetersVTInternal Medicine Physician$67K$0
    Ryan DuffyNHOrthopaedic Surgery Physician$63.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nfi Vermont, IncVTClinic/Center$0$33.6M
    Bla Partners, LLCVTClinical Medical Laboratory$0$15.2M
    Timberlane Dental GroupVTOrthodontics and Dentofacial Orthopedics Dentistry$0$7.5M
    Tms Vt, LLCVTDurable Medical Equipment & Medical Supplies$0$2.9M
    Michelle YoungVTOphthalmology Physician$2.1M$0
    Howard Center IncVTPsychiatry Physician$0$2M
    Vermont Eye Surgery & Laser CenterVTAmbulatory Surgical Clinic/Center$1.8M$2.7K
    David WeissgoldVTOphthalmology Physician$1.7M$0
    Surgi-care IncVTProsthetic/Orthotic Supplier$0$1.7M
    City Of So BurlingtonVTAmbulance$400.9K$1M

    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. Vermont Distribution
    Steffen Hillemann — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont