Active NPI 1932192440 Individual Practitioner Male Practitioner

Dr. Jay A Heilmann , OD

Optometrist • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Heilmann, OD is a certified Optometrist practicing in Milwaukee, WI. With approximately 35 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1991, Dr. Heilmann delivers high-quality medical care to the local community at 1684 N PROSPECT AVE.

Dr. Heilmann is affiliated with Milwaukee Eye Care Associates Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1684 N Prospect Ave

Milwaukee, WI 532022408

Telephone 4142712020

Fax 4142723932

Associated Practice Facility / Clinic

🏢 Milwaukee Eye Care Associates S.c. Facility NPI 1609869858

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Milwaukee, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +14.6 yrs vs City Avg

City Avg: 20.4 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

58 Specialists

Practicing in Milwaukee, WI (1196 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heilmann (35 Years) 35 Yrs

Milwaukee Specialty Average (20.4 Years) 20.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	817	791	$284.93	$120.64
99213 Established patient office or other outpatient visit, typically 15 minutes	290	209	$195.00	$84.89
92134 Imaging of retina	108	101	$252.00	$38.11
92133 Imaging of optic nerve	96	89	$252.00	$34.00
92014 Established patient complete exam of visual system	73	73	$340.00	$117.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$350.00	$156.40
92083 Exam of visual field with extended testing	40	39	$195.00	$59.91
92012 Established patient problem focused exam of visual system	14	14	$240.00	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	610	598	$339.62	$120.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	216	$273.76	$120.69
99213 Established patient office or other outpatient visit, typically 15 minutes	145	118	$194.59	$85.18
92012 Established patient problem focused exam of visual system	142	105	$240.00	$85.33
92134 Imaging of retina	72	69	$252.00	$38.37
92133 Imaging of optic nerve	65	65	$252.00	$34.62
92004 New patient complete exam of visual system	30	30	$370.00	$143.19
92083 Exam of visual field with extended testing	19	19	$195.00	$59.50
92250 Photography of the retina	12	12	$205.00	$35.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	752	729	$184.00	$123.19
99213 Established patient office or other outpatient visit, typically 15 minutes	314	240	$136.00	$86.98
92134 Imaging of retina	89	85	$252.00	$38.86
92014 Established patient complete exam of visual system	72	72	$225.00	$121.21
92133 Imaging of optic nerve	68	66	$252.00	$35.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$270.00	$159.50
92083 Exam of visual field with extended testing	19	19	$195.00	$60.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	677	$184.06	$125.09
99213 Established patient office or other outpatient visit, typically 15 minutes	279	210	$136.00	$88.26
92134 Imaging of retina	139	132	$252.00	$39.89
92014 Established patient complete exam of visual system	73	73	$225.00	$123.33
92133 Imaging of optic nerve	60	58	$252.00	$35.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$270.00	$161.47
92083 Exam of visual field with extended testing	18	18	$195.00	$61.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	622	605	$225.00	$124.15
92012 Established patient problem focused exam of visual system	202	158	$155.00	$87.00
92134 Imaging of retina	112	108	$252.00	$40.06
92133 Imaging of optic nerve	58	56	$252.00	$36.19
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$136.00	$72.97
92004 New patient complete exam of visual system	25	25	$275.00	$148.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$184.00	$105.95
92083 Exam of visual field with extended testing	18	18	$195.00	$61.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	759	735	$225.00	$122.77
92012 Established patient problem focused exam of visual system	201	161	$155.00	$85.59
92134 Imaging of retina	104	97	$252.00	$39.71
99213 Established patient office or other outpatient visit, typically 15 minutes	97	80	$136.00	$71.30
92133 Imaging of optic nerve	74	69	$252.00	$35.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$184.00	$104.73
92083 Exam of visual field with extended testing	25	25	$195.00	$62.19
92004 New patient complete exam of visual system	20	20	$275.00	$146.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	822	805	$185.52	$122.16
99213 Established patient office or other outpatient visit, typically 15 minutes	207	158	$115.18	$69.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	66	$165.05	$102.56
92012 Established patient problem focused exam of visual system	55	52	$146.93	$84.71
92134 Imaging of retina	44	41	$252.00	$40.17
92133 Imaging of optic nerve	38	38	$252.00	$34.62
92083 Exam of visual field with extended testing	30	30	$195.00	$62.15
92004 New patient complete exam of visual system	25	25	$236.60	$146.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$257.69	$157.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$69.82	$41.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	763	750	$164.00	$115.68
99213 Established patient office or other outpatient visit, typically 15 minutes	180	135	$105.00	$67.23
92012 Established patient problem focused exam of visual system	68	64	$118.00	$79.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$154.00	$99.91
92133 Imaging of optic nerve	40	40	$252.00	$33.85
92134 Imaging of retina	30	30	$252.00	$37.94
92004 New patient complete exam of visual system	30	30	$215.00	$139.63
92083 Exam of visual field with extended testing	29	29	$195.00	$60.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$148.22

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 2430

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

38583100 (WI)

Commercial Insurance / Payer ID Aetna

4314611 (WI)

Hospital & Practice Group Affiliations

Milwaukee Eye Care Associates Sc

1684 N Prospect Ave, Milwaukee, WI 532022408

Phone: 4142712020

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Peter Foote , MD

Ophthalmology

NPI 1134112683

Doctor of Medicine (M.D.)

Dr. James Greenlee , MD

Ophthalmology

NPI 1285627711

Doctor of Medicine (M.D.)

Dr. Robin Wilson , MD

Ophthalmology

NPI 1316930845

Doctor of Medicine (M.D.)

Dr. Susan Chesshire , MD

Ophthalmology

NPI 1336132828

Doctor of Medicine (M.D.)

Dr. Charles Ries , OD

Optometrist

NPI 1386637817

Doctor of Optometry

Dr. Nicholas Frame , MD

Ophthalmology

NPI 1457588402

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2008

Registered at 1684 N PROSPECT AVE, MILWAUKEE, WI 532022408 (Tel: 4142712020)

📍

Updated Business Mailing Address January 16, 2008

Registered at 1684 N PROSPECT AVE, MILWAUKEE, WI 532022408 (Tel: 4142712020)

👤

Provider Name / Credentials Updated January 16, 2008

Recorded as JAY HEILMANN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2008

Optometrist (License #2430 in WI)

🟢

Initial NPI Registration & Enumeration August 30, 2005

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: 1932192440

Entity Type:

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

Enumeration Date: August 30, 2005

Last Update: January 16, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1684 N Prospect Ave

Milwaukee, WI 532022408

Phone: 4142712020

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.