JOHN HEFFERNAN, M.D.
Urology Physician · NEWPORT, RI
Individual Active NPI 1649243643
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,076 | 4,073 | $635,222 | $273,502 | $201,928 |
| 2023 | 1,048 | 4,672 | $600,329 | $256,361 | $188,964 |
| 2022 | 1,033 | 4,228 | $621,663 | $259,962 | $190,415 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 542 | $91 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 534 | $128 | $93 |
| 81003 | Automated urinalysis test | 502 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 236 | $11 | $8 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 111 | $241 | $180 |
| 51703 | Complicated insertion of bladder tube | 87 | $150 | $113 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 85 | $179 | $142 |
| 96372 | Injection of drug or substance under skin or into muscle | 78 | $14 | $11 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 78 | $167 | $119 |
| 51702 | Simple insertion of temporary bladder tube | 58 | $63 | $48 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 55 | $48 | $37 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 54 | $24 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | MD09513 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Rhode Island
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.