RANDY HEISSER, MD
Family Medicine Physician · EAST RIDGE, TN
Individual Active NPI 1689620999
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 354 | 1,206 | $135,802 | $101,214 | $78,674 |
| 2023 | 380 | 1,418 | $146,171 | $111,168 | $81,822 |
| 2022 | 432 | 4,381 | $332,511 | $244,190 | $185,049 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 355 | $68 | $53 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 125 | $68 | $54 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 109 | $166 | $128 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 106 | $70 | $55 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 71 | $98 | $77 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 67 | $42 | $32 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 55 | $98 | $78 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 38 | $166 | $124 |
| 99497 | Advance care planning, first 30 minutes | 26 | $75 | $60 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 | $82 | $54 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 24 | $48 | $27 |
| 99497 | Advance care planning, first 30 minutes | 20 | $69 | $55 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 26726 | TN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.