What is Karl Heilman's specialty?

Karl Heilman (NPI 1659344430) is a Medicare-billing provider whose primary specialty is Cardiology in Rapid City, SD.

Where does Karl Heilman practice?

Karl Heilman practices in Rapid City, SD, based on the location reported in the CMS Medicare provider datasets for NPI 1659344430.

How much does Medicare pay Karl Heilman?

Karl Heilman (NPI 1659344430) received approximately $168K in total Medicare Part B payments, serving 2,165 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1659344430

Karl HeilmanMD

CardiologyRapid City, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,853

Unique beneficiaries

—

Total services

4,925

Distinct HCPCS

Medicare payment

$146K

Peer benchmark

Total Medicare services vs. 29 Cardiology providers in SD — top quintile (cohort median 3,005).

PRESCRIBING · PART D · 2024

Total Rx claims

3,500

Beneficiaries

—

Total drug cost

$819K

Distinct drugs

Brand share

22.3%

Top prescribed drugs

Metoprolol Succinate628 claims

Warfarin Sodium252 claims

Atorvastatin Calcium222 claims

Losartan Potassium217 claims

Apixaban152 claims

QUALITY · MIPS · 2024

Final MIPS score

93.8

Quality

80.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.79%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Travel and Lodging$2K

Food and Beverage$329

Top paying entities

Travel and Lodging$2K

Food and Beverage$329

REFERRAL NETWORK

Where Karl Heilman's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 93 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.	698	2,478
FROST, TIMOTHY	141	344
DURST, ROBERT	125	251
William Zavitz Diagnostic Radiology · Rapid City, SD	124	278
Charles Voigt Diagnostic Radiology · Rapid City, SD	111	234
NPI 1215994967	98	188
Thomas Habbe Diagnostic Radiology · Rapid City, SD	88	188
Amad Zineldine Cardiology · Prescott Valley, AZ	72	187
MONUMENT HEALTH NETWORK, INC.	70	185
Joseph Tuma Interventional Cardiology · Rapid City, SD	65	191
James Walder Internal Medicine · Rapid City, SD	57	155
Pushpa Poudel Hospitalist · Gainesville, FL	50	145

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events