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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBlaine Heric
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    Blaine Heric — Billing Profile & Reimbursement Data

    NPI 1912971946 · Clearwater, FL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Blaine Heric is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Clearwater, Florida. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBlaine Heric
    Address455 Pinellas St
    CityClearwater
    StateFL
    ZIP33756
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedFebruary 15, 2006

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

    Payer SourceTotal Paid
    Medicare$50.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…10$1,660$21.6K
    33533Coronary artery bypass, using arterial graft(s); single arterial graft10$1,350$16.2K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…10$340$4.1K
    35600The provider uses an open approach to obtain a portion of a healthy artery from the patient’s arm to use to create an alternative route around a blockage in a coronary (heart) artery.20$150$3.2K
    99204The provider sees a new 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 provider…20$130$2.9K
    99203The provider sees a new 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 provider…10$80$1.1K
    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…20$70$1.1K
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.30$10$340

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3353320022020$980$25.4K
    3353421010$1,620$22.7K
    9921328,28330,01080$60$12K
    9920413,46619,04040$110$7K
    9920310,08111,72040$70$4.4K
    335187811020$250$4.3K
    3560011020$110$1.7K
    335085619020$10$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John OfenlochFLThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$119.5K$0
    Joshua RovinFLThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$67.9K$0
    Cesar SantiagoFLColon & Rectal Surgery Physician$16.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rai Care Centers Of Florida I, LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$16.1M
    Morton Plant Hospital Association, Inc.FLPsychiatric Hospital Unit$0$15.8M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.5M
    Steven CohenFLOphthalmology Physician$4.4M$0
    Eugenia Rullan BidotFLRheumatology Physician$3.7M$0
    Adam RosenFLRheumatology Physician$3.4M$0
    Cardiovascular Asc LLCFLAmbulatory Surgical Clinic/Center$3.1M$0
    Nuruddin JoomaFLMedical Oncology Physician$2.2M$0
    John MilizianoFLNuclear Radiology Physician$1.9M$0
    Vanessa LucarellaFLCardiovascular Disease Physician$1.1M$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. Florida Distribution
    Blaine Heric — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida