Active NPI 1629374426 Individual Practitioner Female Practitioner

Kari A Heil , NP

Nurse Practitioner • Barstow, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kari Heil, NP is a certified Nurse Practitioner practicing in Barstow, CA. With approximately 16 years of clinical experience since completing medical education in 2010, Kari Heil delivers high-quality medical care to the local community at 555 S 7TH AVE.

Kari Heil is affiliated with Gem Medical Group Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

555 S 7th Ave

Barstow, CA 923113043

Telephone 7609573030

Associated Practice Facility / Clinic

🏢 Community Health Emergency Medical Group Inc Facility NPI 1255379210

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Barstow, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +7.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Barstow, CA (8378 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heil (16 Years) 16 Yrs

Barstow Specialty Average (8.5 Years) 8.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	35	34	$744.40	$103.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	25	23	$763.00	$105.98
99285 Emergency department visit for life threatening or functioning severity	15	15	$1118.53	$153.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	16	16	$1023.00	$108.32
99283 Emergency department visit with low level of medical decision making	15	15	$612.00	$64.09
99285 Emergency department visit for life threatening or functioning severity	12	12	$1266.00	$157.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	26	$220.36	$90.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$117.67	$63.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	65	$98.00	$64.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	56	$126.00	$92.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$246.00	$179.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	201	127	$126.00	$88.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$246.00	$174.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	34	$98.00	$62.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	513	203	$126.00	$88.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	158	$98.00	$61.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	107	$246.00	$172.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$167.00	$116.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$141.00	$67.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	367	174	$88.76	$61.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	84	$167.00	$116.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	32	$126.00	$88.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$246.00	$171.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$141.00	$66.77

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 20203

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Gem Medical Group Corporation

9080 Colima Rd, Whittier, CA 906051600

Phone: 8773462211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Paula Fortin , MSN, FNP

Nurse Practitioner - Family

NPI 1912162363

Master of Science in Nursing, Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 27, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2011

Registered at 555 S 7TH AVE, BARSTOW, CA 923113043 (Tel: 7609573030)

📍

Updated Business Mailing Address January 27, 2011

Registered at 3916 STATE ST, 300, SANTA BARBARA, CA 931055602 (Tel: 8002305160)

👤

Provider Name / Credentials Updated January 27, 2011

Recorded as KARI HEIL, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2011

Nurse Practitioner (License #20203 in CA)

🟢

Initial NPI Registration & Enumeration January 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629374426

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 27, 2011

Last Update: January 27, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3916 State St, 300

Santa Barbara, CA 931055602

Phone: 8002305160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.