Physician

Edith Claire Heilman, MSN,PMH,CNS,BC.

According to 2025 Medicare claims, Edith Heilman, MSN, PMH, CNS, BC. (NPI: 1114274925) practices certified clinical nurse specialist in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Delaware, PA. This provider's primary affiliated billing organization is ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC (NPI: 1235149477) and primary practice location at 19342-1282.

Heilman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 83 traditional Medicare patients, billed 1,223 HCPCS/CPT codes, and received $50,307 in Medicare payments. The top billing code was 90836 (Psychotherapy with evaluation and management visit, 45 minutes). No Open Payments records. 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 changed little. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$29K$59K2015 Medicare payment: $51,216 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $48,607 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $55,752 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $48,512 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $58,683 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $55,029 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $56,031 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $38,755 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $51,390 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $50,307 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015159815$51,216
2016128836$48,607
20171051,005$55,752
201899987$48,512
20191031,127$58,683
20201061,140$55,029
202197987$56,031
202285690$38,755
202384946$51,390
2024831,223$50,307

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
90836Psychotherapy with evaluation and management visit, 45 minutes63335$61
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more54154$51
90833Psychotherapy with evaluation and management visit, 30 minutes2449$48
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more55224$45
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's71371$10

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Edith Claire Heilman, MSN, PMH, CNS, BC.?

Tedicare shows public-source Medicare data for Edith Claire Heilman, MSN, PMH, CNS, BC. (NPI 1114274925), 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 Edith Claire Heilman, MSN, PMH, CNS, BC. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edith Claire Heilman, MSN, PMH, CNS, BC.?

Edith Claire Heilman, MSN, PMH, CNS, BC. is linked to ERICKSON HEALTH MEDICAL GROUP OF PENNSYLVANIA PC (billing NPI 1235149477) in the available physician profile data.

Does Edith Claire Heilman, MSN, PMH, CNS, BC. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.