Physician

Derek Heldzinger, M.D.

According to 2025 Medicare claims, Derek Heldzinger, M.D. (NPI: 1336442037) practices family practice in the Chattanooga, TN-GA market, with the plurality of this provider's patient population coming from Walker, GA. This provider's primary affiliated billing organization is UTM OF GEORGIA PHYSICIANS LLC (NPI: 1255893038; TIN: 833622578) and primary practice location at 30742-3847.

Heldzinger's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 313 traditional Medicare patients, billed 1,209 HCPCS/CPT codes, and received $31,904 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 703 prescription claims across 363 beneficiaries totaling $26,633 in drug costs, led by Cefdinir (Cefdinir). 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 moved up and down with repeated peaks and valleys, starting at $12,361 and ending at $31,904. Concurrently, Part D prescription costs have risen steadily, from $1,573 to $26,633. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	174	342	$12,361
2017	251	488	$17,260
2018	579	1,405	$55,975
2019	608	1,770	$51,421
2020	130	319	$9,445
2021	227	608	$26,810
2022	222	836	$21,612
2023	290	1,073	$27,673
2024	313	1,209	$31,904

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	28	47	$1,573
2016	188	280	$7,200
2017	318	449	$11,009
2018	450	755	$20,640
2019	512	765	$16,715
2020	127	192	$5,933
2021	119	268	$23,512
2022	191	508	$24,887
2023	314	608	$20,688
2024	363	703	$26,633

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$104
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	130	$86
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$47
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	105	112	$45
96372	Injection of drug or substance under skin or into muscle	55	60	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cefdinir	Cefdinir	101	1,002	$1,894
Cephalexin	Cephalexin	23	218	$509
Doxycycline Hyclate	Doxycycline Hyclate	44	437	$406
Oseltamivir Phosphate	Oseltamivir Phosphate	20	100	$390
Gabapentin	Gabapentin	19	1,290	$317

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.

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FAQ

What Medicare data is available for Derek Heldzinger, M.D.?

Tedicare shows public-source Medicare data for Derek Heldzinger, M.D. (NPI 1336442037), 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 Derek Heldzinger, M.D. have ACO affiliation data?

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

What billing organization is linked to Derek Heldzinger, M.D.?

Derek Heldzinger, M.D. is linked to UTM OF GEORGIA PHYSICIANS LLC (billing NPI 1255893038) in the available physician profile data.

Does Derek Heldzinger, M.D. 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.