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

Why is the Medicaid comparison limited to New York 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. New York (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.

Harold Hefter (NPI 1952445389)

Field	Value
Entity Type	Individual
Organization	Harold Hefter
Address	135 Rockaway Tpke
City	Lawrence
State	NY
ZIP	11559
Taxonomy	Procedural Dermatology Physician
NPI Enumerated	February 18, 2007

Payer Source	Total Paid
Medicare	$143.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	560	$80	$42.7K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	290	$90	$26.3K
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…	200	$110	$22.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	360	$50	$17.4K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	180	$60	$9.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	50	$100	$5.3K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	110	$50	$5.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	80	$60	$4.7K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	30	$150	$4.6K
99203	The 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…	40	$100	$3.6K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Harold Hefter — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,671	30,450	90	$100	$19K
99213	2,001	31,440	80	$70	$12.1K
11102	181	1,270	80	$80	$11.1K
17110	725	1,280	60	$90	$9.7K
17000	485	1,300	120	$40	$8.7K
99203	5,139	11,360	30	$90	$4.7K
17262	86	250	20	$140	$4.6K
11103	157	770	40	$40	$4.5K
99212	300	7,850	30	$40	$3.6K
17003	789	1,190	340	$10	$3.5K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rubin Brecher	NY	Ophthalmology Physician	$1.3M	$2.4M
Jason Grotas	NY	Urology Physician	$553.8K	$981.8K
Rajbir Chopra	NY	Nephrology Physician	$375.3K	$1.2M
Michael Rotman	NY	Urology Physician	$148.1K	$404.8K
Yuri Usher	NY	Physical Therapist	$409.8K	$85.7K
Irene Zide	NY	Endocrinology, Diabetes & Metabolism Physician	$226.2K	$5.8K

Harold Hefter — Billing Profile & Reimbursement Data

Sign up for Harold Hefter — Billing Profile & Reimbursement Data policy alerts

Harold Hefter — Billing Profile & Reimbursement Data

Sign up for Harold Hefter — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References