Medicare Enrolled

Rachel Hetzner, RN, DNP

Nurse Practitioner - Primary Care · Madison Heights, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
28180 JOHN R RD, Madison Heights, MI 48071
2483360500
Registered in NPPES since 2014
NPI: 1154729960 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 Hetzner 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 Hetzner

Rachel Hetzner is a nurse practitioner - primary care in Madison Heights, MI, with 11 years of NPI registration. Based on federal Medicare data, Hetzner performed 823 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Hetzner received a total of $6,071 from 34 pharmaceutical and/or device companies across 350 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Hetzner 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.

✓ 11 years of NPI registration ▲ Top 10% volume in MI $6,071 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
823
Medicare services
Top 10% in MI for nurse practitioner - primary care
Not available
Unique patients (not deduplicated)
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
218 $69 $165
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.
123 $49 $125
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
102 $8 $20
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
73 $37 $103
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
71 $110 $212
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
52 $10 $30
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
44 $27 $74
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
32 $7 $40
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
31 $10 $40
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
28 $3 $10
Blood glucose test using hand-held instrument
A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels.
21 $3 $20
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
15 $31 $44
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
13 $7 $7
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,071
Total received (2021-2024)
Avg $1,518/year across 4 years
Top 2% in MI for nurse practitioner - primary care
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
350
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,612
2023
$1,490
2022
$1,745
2021
$1,225

Payments by company (2024)

AstraZeneca Pharmaceuticals LP
$353
Novo Nordisk Inc
$276
ABBVIE INC.
$163
Alexion Pharmaceuticals, Inc.
$113
Amgen Inc.
$112
Abbott Laboratories
$108
PFIZER INC.
$107
Axsome Therapeutics, Inc.
$95
Lilly USA, LLC
$90
Exact Sciences Corporation
$43
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$36
Boehringer Ingelheim Pharmaceuticals, Inc.
$33
Lundbeck LLC
$32
Pulmonx Corporation
$19
GlaxoSmithKline, LLC.
$15
Astellas Pharma US Inc
$15
Top 3 companies account for 49.2% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$1,380
AstraZeneca Pharmaceuticals LP
$958
Lilly USA, LLC
$637
GlaxoSmithKline, LLC.
$507
Boehringer Ingelheim Pharmaceuticals, Inc.
$353
Amgen Inc.
$331
ABBVIE INC.
$311
PFIZER INC.
$277
Abbott Laboratories
$200
Bausch Health US, LLC
$128
Alexion Pharmaceuticals, Inc.
$113
Exact Sciences Corporation
$112
AbbVie Inc.
$96
Axsome Therapeutics, Inc.
$95
Mylan Specialty L.P.
$64
Novartis Pharmaceuticals Corporation
$49
Amarin Pharma Inc.
$43
Merck Sharp & Dohme Corporation
$38
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$36
Biohaven Pharmaceutical Holding Company Ltd.
$35
Lundbeck LLC
$32
Takeda Pharmaceuticals U.S.A., Inc.
$29
Astellas Pharma US Inc
$28
Bayer HealthCare Pharmaceuticals Inc.
$27
Janssen Pharmaceuticals, Inc
$26
SANOFI-AVENTIS U.S. LLC
$25
Nevro Corp.
$24
Otsuka America Pharmaceutical, Inc.
$21
Pulmonx Corporation
$19
Biohaven Pharmaceuticals, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Ultragenyx Pharmaceutical Inc.
$16
Alkermes, Inc.
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Top 3 companies account for 49.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO ELLIPTA · APLENZIN · AREXVY · ARISTADA · Auvelity · BELSOMRA · BREZTRI · CAPLYTA · CHARTIS CATHETER · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cologuard Collection Kit · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · JANUVIA · JARDIANCE · Kerendia · LEQVIO · MOUNJARO · Myrbetriq · NURTEC ODT · Omnia · Otezla · Ozempic · PREMARIN · PREVNAR 20 · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saxenda · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VRAYLAR · VYNDAMAX · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · Yupelri · ZEPBOUND
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a nurse practitioner - primary care in Madison Heights?
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Geographic Context

Nurse practitioner - primary cares in nearby ZIP areas
183
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
THE BEHAVIORAL CENTER OF MICHIGAN
2.3 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Hetzner is a clinical cardiology specialist, with above-average Medicare volume (top 10% in MI).

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

Frequently Asked Questions

Is Hetzner experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Hetzner performed 218 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Hetzner receive payments from pharmaceutical companies?
Yes. Hetzner received a total of $6,071 from 34 companies across 350 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Hetzner's costs compare to other nurse practitioner - primary cares in Madison Heights?
Hetzner's average Medicare payment per service is $43. 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 Hetzner) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →