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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGregory Heaton
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    Gregory Heaton — Billing Profile & Reimbursement Data

    NPI 1861474835 · Lawrenceburg, IN · Anatomic Pathology & Clinical Pathology Physician

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    Gregory Heaton is a anatomic pathology & clinical pathology physician provider located in Lawrenceburg, Indiana. This profile covers 10 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
    OrganizationGregory Heaton
    Address600 Wilson Creek Rd
    CityLawrenceburg
    StateIN
    ZIP47025
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$30.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…770$30$20.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…70$60$3.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…130$20$2.7K
    88104The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, and interprets his findings. Cytopathology is the study of cellular changes in…80$20$1.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…50$30$1.2K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…40$20$720
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…60$10$450
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.20$20$270
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…10$20$170
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.20$10$160

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305109230700$30$39.7K
    88341123170250$30$8.4K
    8830799150100$70$7.7K
    88342143180130$40$7.2K
    883126812050$40$2.9K
    88108394050$20$1.2K
    883048316060$10$1K
    85060577040$20$930
    8810412020$20$550
    8831111112040$10$520

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen EliasonINAnatomic Pathology & Clinical Pathology Physician$272.1K$0
    Chadwick HatfieldKYGastroenterology Physician$209.3K$0
    Daniel FagelKYGastroenterology Physician$102.6K$0
    Michael JonesKYGastroenterology Physician$89.1K$0
    Scott LeverageKYGastroenterology Physician$82.5K$0
    Joel WarrenKYGastroenterology Physician$74.2K$0
    Allan LamKYGastroenterology Physician$73.8K$0
    Samir VermaniKYGastroenterology Physician$72.8K$0
    Christopher HeatonINAnatomic Pathology & Clinical Pathology Physician$32.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recover Together, LLCINAdult Mental Health Clinic/Center$0$122.3M
    Community Mental Health Center IncINPsychiatric Hospital$0$77.7M
    East Indiana Treatment Center, LLCINMethadone Clinic$275K$6.2M
    St Elizabeth Medical Center, IncINGeneral Acute Care Hospital$0$4.6M
    Health Services Corporation Of Southeastern IndianaINFamily Medicine Physician$0$4.2M
    Hospital Medicine Services Of Tennessee PCINHospitalist Physician$0$3.7M
    Indiana Emergency Professionals PCINEmergency Medicine Physician$0$2.8M
    Ronald AuerINOrthopaedic Surgery Physician$207.9K$0
    Elisha ClouseINFamily Nurse Practitioner$203.6K$0
    Ashok PenmetsaINCardiovascular Disease Physician$170.8K$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.

    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. Indiana Distribution
    Gregory Heaton — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana