Physician

Mark D Heibel, MD

According to 2025 Medicare claims, Mark Heibel, MD (NPI: 1417946484) practices dermatology in the Lincoln, NE market, with the plurality of this provider's patient population coming from Lancaster, NE. This provider's primary affiliated billing organization is HEIBEL DERMATOLOGY CLINIC LLC (NPI: 1073679940; TIN: 392036501) and primary practice location at 68516-4473. Heibel is affiliated with the NPG Health Collaborative LLC (ACO ID: A3287) and Bryan Health Connect ACO, LLC (ACO ID: A4573), participating under the MSSP model.

Heibel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,742 traditional Medicare patients, billed 14,167 HCPCS/CPT codes, and received $786,419 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 2,669 prescription claims across 817 beneficiaries totaling $594,330 in drug costs, led by Skyrizi Pen (Risankizumab-Rzaa). Open Payments data shows 20 records totaling $385. 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, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $364,192 and ending at $594,330. 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$453K$905K2015 Medicare payment: $841,597 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $821,943 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $865,944 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $896,696 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $857,141 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $816,166 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $905,145 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $843,240 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $792,104 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $786,419 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,90816,059$841,597
20161,89716,261$821,943
20171,96218,434$865,944
20182,02617,878$896,696
20192,14218,261$857,141
20201,96315,666$816,166
20211,98015,844$905,145
20221,89915,828$843,240
20231,81715,088$792,104
20241,74214,167$786,419

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$320K$640K2015 Drug cost: $364,192 (USD; Tot_Drug_Cst)2016 Drug cost: $450,064 (USD; Tot_Drug_Cst)2017 Drug cost: $570,881 (USD; Tot_Drug_Cst)2018 Drug cost: $640,210 (USD; Tot_Drug_Cst)2019 Drug cost: $443,825 (USD; Tot_Drug_Cst)2020 Drug cost: $544,301 (USD; Tot_Drug_Cst)2021 Drug cost: $462,422 (USD; Tot_Drug_Cst)2022 Drug cost: $455,798 (USD; Tot_Drug_Cst)2023 Drug cost: $504,622 (USD; Tot_Drug_Cst)2024 Drug cost: $594,330 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154941,630$364,192
20164711,503$450,064
20175841,731$570,881
20187032,018$640,210
20197461,943$443,825
20207012,019$544,301
20217092,151$462,422
20227712,360$455,798
20237632,315$504,622
20248172,669$594,330

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8821,226$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,0801,536$57
88305Pathology examination of tissue using a microscope, intermediate complexity7051,205$48
17000Destruction of precancer skin growth, 1 growth8651,185$32
17003Destruction of precancer skin growth, 2-14 growths7555,512$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Skyrizi PenRisankizumab-Rzaa12840$261,289
EnbrelEtanercept13364$94,897
Clobetasol PropionateClobetasol Propionate37410,195$19,801
Doxycycline HyclateDoxycycline Hyclate3469,947$8,319
MethotrexateMethotrexate Sodium1345,318$4,707

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.20$385Janssen Biotech, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark D. Heibel, MD?

Tedicare shows public-source Medicare data for Mark D. Heibel, MD (NPI 1417946484), 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 Mark D. Heibel, MD have ACO affiliation data?

Mark D. Heibel, MD is shown with ACO affiliation data for NPG Health Collaborative LLC (MSSP, ACO ID A3287) and Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573).

What billing organization is linked to Mark D. Heibel, MD?

Mark D. Heibel, MD is linked to HEIBEL DERMATOLOGY CLINIC LLC (billing NPI 1073679940) in the available physician profile data.

Does Mark D. Heibel, MD have Open Payments data?

Mark D. Heibel, MD has 20 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.