Physician Assistant · Alpena, MI
NPI
1457825549
Since 2019
Specialty
Physician Assistant
Code 363A00000X
Group practices
1
Medicare group memberships
Hospitals
2
Hospital affiliations
105 Arbor Ln
Alpena, MI, 49707
Phone (989) 884-0139
Groups this clinician bills Medicare through
Medicare paid, 2024
$149K
4,385 services
Medicare patients, 2024
1,085
Average age 74
Drug cost, 2024
$2.1M
1,931 prescriptions
Company payments, 2025
$1,167
From 11 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Heather M Birmingham was code 17003 (destruction skin lesion), 1,525 times for 301 patients. In total Heather M Birmingham billed 4,385 services in 51 codes, and Medicare paid $149K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2019-01-11.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 17003 Destruction Skin Lesion | Office | 1,525 | 301 | $3.56 | $5,432 |
| 99213 Office E&M - Established | Office | 678 | 565 | $45.62 | $31K |
| 17000 Destruction Skin Lesion | Office | 585 | 451 | $28.66 | $17K |
| 99214 Office E&M - Established | Office | 407 | 316 | $70.69 | $29K |
| 11102 Skin Biopsy | Office | 289 | 254 | $44.71 | $13K |
| 17110 Destruction Skin Lesion | Office | 252 | 207 | $62.93 | $16K |
| 99203 Office E&M - New | Office | 154 | 154 | $45.27 | $6,972 |
| 99204 Office E&M - New | Office | 66 | 66 | $75.63 | $4,992 |
| 11103 Skin Biopsy | Office | 54 | 40 | $26.46 | $1,429 |
| J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 51 | 16 | $0.42 | $21.64 |
| 12032 Wound Repair - All Levels | Office | 42 | 38 | $183.38 | $7,702 |
| 11200 Removal or Shaving of Skin Growth | Office | 41 | 41 | $37.44 | $1,535 |
| 17004 Destruction Skin Lesion | Office | 30 | 27 | $91.50 | $2,745 |
| 11602 Skin Lesion Excision | Office | 28 | 26 | $78.03 | $2,185 |
| 11104 Skin Biopsy | Office | 27 | 26 | $53.14 | $1,435 |
By year: 2022 $150K for 5,067 services; 2023 $147K for 4,550 services; 2024 $149K for 4,385 services.
Medicare prescription drug claims, 2024
In 2024, the drug Heather M Birmingham prescribed most often to Medicare patients was Ketoconazole, with 262 prescriptions and refills. In total Heather M Birmingham wrote 1,931 Medicare prescriptions that cost $2.1M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Ketoconazole Generic | 262 | 322 | 159 | $5,101 |
| Triamcinolone Acetonide Generic | 257 | 385 | 192 | $2,876 |
| Clobetasol Propionate Generic | 240 | 289 | 123 | $7,654 |
| Fluorouracil Generic | 99 | 102 | 94 | $5,881 |
| Doxycycline Hyclate Generic | 96 | 128 | 71 | $1,140 |
| Methotrexate Methotrexate Sodium | 87 | 186 | 28 | $1,482 |
| Clindamycin Phosphate Generic | 63 | 74 | 30 | $1,682 |
| Metronidazole Generic | 61 | 77 | 46 | $2,761 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 50 | 62 | 32 | $811 |
| Hydrocortisone Generic | 47 | 50 | 35 | $672 |
| Cosentyx Unoready Pen Secukinumab | 45 | 47 | Under 11 | $430K |
| Dupixent Pen Dupilumab | 41 | 41 | Under 11 | $150K |
| Mupirocin Generic | 34 | 36 | 23 | $181 |
| Otezla Apremilast | 32 | 32 | Under 11 | $150K |
| Tretinoin Generic | 31 | 42 | 22 | $2,433 |
Brand drugs: 291 claims; generic drugs: 1,640 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Heather M Birmingham $1,167 ($1,167 in general payments such as food, travel and fees) from 11 companies. The largest payer was Regeneron Healthcare Solutions, Inc. with $279.
| Company | Payments | Amount |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. REGN | 9 | $279 |
| Novartis Pharmaceuticals Corporation NVS | 11 | $214 |
| Abbvie Inc. ABBV | 5 | $196 |
| E.R. Squibb & Sons, L.L.C. BMY | 2 | $114 |
| UCB, Inc. UCB.BR | 5 | $113 |
| Galderma Laboratories, L.P. GALD.SW | 5 | $81.5 |
| Amgen Inc. AMGN | 4 | $70.47 |
| Paratek Pharmaceuticals, Inc. | 2 | $36.56 |
| Janssen Biotech, Inc. JNJ | 1 | $21.79 |
| LEO Pharma Inc. | 1 | $21.25 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.