Physician

Heather Johnson Roberts

According to 2025 Medicare claims, Heather Roberts (NPI: 1427411487) practices orthopedic surgery in the Portland-Vancouver-Hillsboro, OR-WA market, with the plurality of this provider's patient population coming from Clark, WA. This provider's primary affiliated billing organization is NORTHWEST SURGICAL SPECIALISTS, P.C. (NPI: 1730118803; TIN: 910866217) and primary practice location at 98664-3200. Roberts is affiliated with the PSW ACO (ACO ID: A5323) and PeaceHealth Direct Contracting LLC (ACO ID: D0152), participating under both the MSSP and REACH models.

Roberts' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 271 traditional Medicare patients, billed 3,484 HCPCS/CPT codes, and received $148,224 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 582 prescription claims across 196 beneficiaries totaling $6,511 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 2 records totaling $180. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. 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$74K$148K2023 Medicare payment: $45,419 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $148,224 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023100343$45,419
20242713,484$148,224

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$5.3K$11K2022 Drug cost: $4,998 (USD; Tot_Drug_Cst)2023 Drug cost: $10,684 (USD; Tot_Drug_Cst)2024 Drug cost: $6,511 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202272202$4,998
2023138401$10,684
2024196582$6,511

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
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more4545$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more106137$70
73564X-ray of knee, 4 or more views5160$37
73562X-ray of knee, 3 views5977$33
73501X-ray of hip, 1 view98121$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban13124$2,457
CelecoxibCelecoxib1132,660$1,474
CephalexinCephalexin146698$590
Oxycodone HclOxycodone Hcl103543$446
Ondansetron OdtOndansetron48118$225

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.2$180Innovation Technologies 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 Heather Johnson Roberts?

Tedicare shows public-source Medicare data for Heather Johnson Roberts (NPI 1427411487), 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 Heather Johnson Roberts have ACO affiliation data?

Heather Johnson Roberts is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323) and PeaceHealth Direct Contracting LLC (REACH, ACO ID D0152).

What billing organization is linked to Heather Johnson Roberts?

Heather Johnson Roberts is linked to NORTHWEST SURGICAL SPECIALISTS, P.C. (billing NPI 1730118803) in the available physician profile data.

Does Heather Johnson Roberts have Open Payments data?

Heather Johnson Roberts has 2 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.