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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Erin Heller (NPI 1982724761)

Field	Value
Entity Type	Individual
Organization	Erin Heller
Address	549 Baltimore Pike
City	Glen Mills
State	PA
ZIP	19342
Taxonomy	Occupational Therapist
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicare	$70.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,570	$30	$39.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	830	$20	$16.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	420	$20	$9.3K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$80	$3.4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	20	$80	$1.9K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	10	$80	$970

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Erin Heller — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	174	2,480	420	$30	$15.8K
97110	1,233	3,260	600	$20	$15.3K
97535	130	670	90	$20	$5.2K
97166	131	220	30	$80	$2.4K
97165	146	160	20	$80	$2.3K
97167	5	40	20	$80	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angel Baricelli	MA	Specialist	$262.9K	$0
Annette Romero	FL	Physical Therapist	$213.7K	$0
Andrea Savastano	NJ	Occupational Therapist	$203.5K	$0
Anthony Sawicki	NJ	Physical Therapist	$202.2K	$0
Tracy Slone	OH	Physical Therapist	$175.3K	$0
Donna Ramirez	NH	Physical Therapist	$164.6K	$0
Pedro Valderrama	TN	Physical Therapist	$160.2K	$0
Martha Deale	DC	Physical Rehabilitation Occupational Therapist	$158.5K	$0
Mitali Shastri	MD	Physical Therapist	$152.2K	$0
Kristen Redner	NJ	Occupational Therapist	$148.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arum Healthcare Services	PA	Home Health Agency	$0	$12.5M
Nehal Gandhi	PA	Rheumatology Physician	$8M	$0
Barry Jacobson	PA	Obstetrics & Gynecology Physician	$3M	$0
Anthony Rooklin	PA	Allergy & Immunology Physician	$1.3M	$0
David Thomas	PA	Neurology Physician	$477.3K	$0
Eric Smith	PA	Orthopaedic Surgery Physician	$430.7K	$0
Kari Boucher	PA	Dermatology Physician	$312.2K	$0
Sarah Tonelli	PA	Dermatology Physician	$302.6K	$0
Robin Scheiner	PA	Dermatology Physician	$286K	$0
Lisa Carroll	PA	Dermatology Physician	$258.7K	$0

Erin Heller — Billing Profile & Reimbursement Data

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Erin Heller — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References