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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMelissa Heiry
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    Melissa Heiry — Billing Profile & Reimbursement Data

    NPI 1851734255 · Philadelphia, PA · Neurology Physician

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    Melissa Heiry is a neurology physician provider located in Philadelphia, Pennsylvania. This profile covers 11 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
    OrganizationMelissa Heiry
    Address901 Walnut St Fl 4
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyNeurology Physician
    NPI EnumeratedApril 16, 2013

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

    Payer SourceTotal Paid
    Medicare$65.4K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…430$110$47.4K
    99205The 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…30$150$4.5K
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…80$40$3.4K
    95984The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…70$40$2.5K
    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…30$70$2.1K
    99233The 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…20$100$1.9K
    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…10$100$1.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$980
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…20$30$450
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…30$20$440

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419,22523,230100$80$14.5K
    992335,9946,63070$90$12K
    9923210,35010,87080$60$9.6K
    992151147,17040$120$8.6K
    992051,1313,09020$150$4.9K
    992226,5597,85030$100$4.3K
    95984112090$30$3.2K
    95874435040$40$2.9K
    9598373050$40$2.1K
    G221219325030$20$1.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Peninsula Hospital, IncAKCritical Access Hospital$0$30.1M
    South Peninsula Hospital, Inc.AKCritical Access Hospital$0$2.7M
    Alan SkolnickAKCardiovascular Disease Physician$473.3K$0
    Linda IrelandAKCardiovascular Disease Physician$389.7K$0
    Adam MasonAKCardiovascular Disease Physician$374.7K$0
    Lisa GrayAKCardiovascular Disease Physician$338.9K$0
    Mario BinderAKCardiovascular Disease Physician$316.8K$0
    Yiming WuAKClinical Cardiac Electrophysiology Physician$305K$0
    Daniel DavignonAKDiagnostic Radiology Physician$248.8K$21.1K
    Graham GlassCANeurology Physician$259.2K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Melissa Heiry — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania