Medicare Enrolled

Dr. Michael Heller, MD

Internal Medicine · Lake Forest, IL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1000 N WESTMORELAND RD, Lake Forest, IL 60045
8475356062
In practice since 2013 (13 years)
NPI: 1417395062 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Heller from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Heller

Dr. Michael Heller is an internal medicine specialist in Lake Forest, IL, with 13 years of NPI registration. Based on federal Medicare data, Dr. Heller performed 537 Medicare services across 472 unique beneficiaries.

Between the years covered by Open Payments, Dr. Heller received a total of $8,245 from 20 pharmaceutical and/or device companies across 91 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Heller is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years in practice ▲ 537 Medicare services $8,245 industry payments

Medicare Practice Summary

Medicare Utilization ↗
537
Medicare services
Bottom 40% in IL for internal medicine
472
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~41 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
111 $11 $67
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
90 $12 $84
Fluoroscopic guidance for central vein access device
Use of live X-ray imaging to guide the placement or removal of a central vein access device.
75 $15 $97
Radiologist review of additional artery image
A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data.
40 $38 $120
Central venous port insertion
A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws.
38 $280 $2,502
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
30 $25 $222
Radiologist review of CT-guided needle placement
A radiologist reviews the CT imaging used to guide the placement of a needle.
27 $54 $298
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
25 $66 $195
Insertion of tunneled central venous catheter for infusion, age 5+
A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older.
20 $217 $1,833
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
17 $90 $306
Insertion of non-tunneled central venous catheter
A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin.
15 $70 $651
CT scan of abdominal aorta and leg arteries with contrast
A CT scan that uses contrast dye to create detailed images of the abdominal aorta and the arteries in both legs.
14 $92 $623
Bone marrow biopsy and aspiration
A procedure to remove a small sample of bone marrow and liquid for laboratory testing. The sample is analyzed to help diagnose various medical conditions.
13 $59 $427
Ultrasound of head and neck blood flow, one side
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels on one side of the head and neck.
11 $20 $111
Ultrasound of arm and leg arteries
A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues.
11 $19 $159
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
6.5% high complexity
31.5% medium
62.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$8,245
Total received (2018-2024)
Avg $1,178/year across 7 years
Top 9% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
91
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,245 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$929
2023
$1,811
2022
$348
2021
$149
2020
$1,741
2019
$1,702
2018
$1,565

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$612
Inari Medical, Inc.
$200
ShockWave Medical, Inc
$36
Medtronic, Inc.
$36
Biogen, Inc.
$24
Surmodics, Inc.
$21
Top 3 companies account for 91.3% of 2024 payments
All-time payments by company (2018-2024) ›
Biocompatibles, Inc.
$1,567
Boston Scientific Corporation
$1,275
Varian Medical Systems, Inc.
$1,220
Abbott Laboratories
$1,184
BOSTON SCIENTIFIC CORPORATION
$1,174
Inari Medical, Inc.
$531
Bard Peripheral Vascular, Inc.
$335
Medtronic, Inc.
$260
Medtronic Vascular, Inc.
$190
ARGON MEDICAL DEVICES, INC.
$154
BARD PERIPHERAL VASCULAR, INC.
$104
ShockWave Medical, Inc
$59
Stryker Corporation
$36
Medtronic USA, Inc.
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Biogen, Inc.
$24
Surmodics, Inc.
$21
EKOS Corporation
$19
Chiesi USA, Inc.
$16
AngioDynamics, Inc.
$13
Top 3 companies account for 49.3% of all-time payments
Associated products mentioned in payments ›
ABRE · ANGIOJET · CLEVIPREX · CONCERTOTM · COVERA · EKOSONIC · Endurant · FLOWTRIEVER CATHETER · FlowTriever · GENERAL - EMBOLICS · General - IO Ablation · HawkOne · JARDIANCE · KYPHON Balloon Kyphoplasty · LUTONIX · OPTION · PERCLOSE PROSTYLE · Perclose ProGlide suture mediated closure system · QALSODY · RotarexS 6 F x 135 cm · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SPINEJACK · SYMPLICITY G3 · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Sublime 014 Rx PTA Balloon Dilatation Catheter · THERASPHERE - BIO · TheraSphere Administration Set · TheraSphere Y90 Glass Microspheres 10 GBq · VENOVO · VenaSeal
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for internal medicine in IL.

Looking for an internal medicine specialist in Lake Forest?
Compare internal medicine physicians in the Lake Forest area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
2,739
Per 100K population
384.8
County median income
$108,917
Nearest hospital
NORTHWESTERN LAKE FOREST HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Heller is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of IL peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Heller experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Heller performed 111 sedation by physician, initial 15 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Heller receive payments from pharmaceutical companies?
Yes. Dr. Heller received a total of $8,245 from 20 companies across 91 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Heller's costs compare to other internal medicine physicians in Lake Forest?
Dr. Heller's average Medicare payment per service is $54. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Heller) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →