Physician

Ralph F. Heaven, M.D.

According to 2025 Medicare claims, Ralph Heaven, M.D. (NPI: 1023056280) practices hematology/oncology in the Abilene, TX market, with the plurality of this provider's patient population coming from Taylor, TX. This provider's primary affiliated billing organization is TEXAS ONCOLOGY PA (NPI: 1811944101; TIN: 752131429) and primary practice location at 79606-5208. Heaven is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Heaven's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 576 traditional Medicare patients, billed 152,574 HCPCS/CPT codes, and received $2,186,831 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,562 prescription claims across 200 beneficiaries totaling $1,613,344 in drug costs, led by Brukinsa (Zanubrutinib). DME data shows 64 claims. Open Payments data shows 12 records totaling $986. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $1,331,507 to $2,186,831. Similarly, Part D prescription costs have moved sharply higher in recent years, from $810,946 to $1,613,344. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $15,337 to $1,821.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	487	73,039	$1,331,507
2016	665	84,110	$1,250,155
2017	737	95,043	$1,105,007
2018	646	101,506	$1,164,139
2019	654	128,188	$1,519,138
2020	649	129,258	$1,741,568
2021	698	143,058	$1,691,877
2022	624	162,647	$2,188,563
2023	570	135,423	$1,696,087
2024	576	152,574	$2,186,831

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	180	1,728	$810,946
2016	186	1,745	$802,255
2017	177	1,707	$645,230
2018	164	1,598	$869,391
2019	196	1,629	$1,103,739
2020	164	1,725	$1,113,453
2021	209	2,079	$1,654,506
2022	216	1,918	$2,535,522
2023	184	1,716	$1,650,872
2024	200	1,562	$1,613,344

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	12	209	$30,276
2016	14	195	$28,615
2017	16	236	$29,342
2018	15	98	$4,088
2019	15	61	$3,736
2020	N/R	111	$7,544
2021	N/R	133	$8,067
2022	N/R	50	$1,278
2023	N/R	21	$534
2024	N/R	64	$28,586

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	644	$88
80053	Blood test, comprehensive group of blood chemicals	278	805	$10
36415	Insertion of needle into vein for collection of blood sample	281	952	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	268	833	$8
83615	Lactate dehydrogenase (enzyme) level	162	329	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Brukinsa	Zanubrutinib	27	810	$367,229
Revlimid	Lenalidomide	14	371	$220,098
Jakafi	Ruxolitinib Phosphate	12	360	$207,788
Zarxio	Filgrastim-Sndz	22	640	$112,851
Imatinib Mesylate	Imatinib Mesylate	11	330	$45,053

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
J8560	Etoposide; oral, 50 mg	N	N/R	11	$26,810
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	14	$950
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	11	$407
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	15	$263
K0001	Standard wheelchair	Y	N/R	13	$155

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$986	Eisai Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Ralph F. Heaven, M.D.?

Tedicare shows public-source Medicare data for Ralph F. Heaven, M.D. (NPI 1023056280), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Ralph F. Heaven, M.D. have ACO affiliation data?

Ralph F. Heaven, M.D. is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ralph F. Heaven, M.D.?

Ralph F. Heaven, M.D. is linked to TEXAS ONCOLOGY PA (billing NPI 1811944101) in the available physician profile data.

Does Ralph F. Heaven, M.D. have Open Payments data?

Ralph F. Heaven, M.D. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.