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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerrick Sanderson
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    Derrick Sanderson — Billing Profile & Reimbursement Data

    NPI 1043577448 · Winona, MN · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Derrick Sanderson is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Winona, Minnesota. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDerrick Sanderson
    Address1122 W Highway 61
    CityWinona
    StateMN
    ZIP55987
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedApril 23, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$64.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit5,400$10$27K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…50$270$13.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…70$90$6.2K
    57265In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…10$490$5.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$120$4.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…50$60$3.1K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…90$30$2.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…10$100$1.1K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…40$1$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058563807,600$1$58.2K
    5228732030$270$8.5K
    992144,85210,10070$80$8.1K
    992151,6714,06030$120$5.9K
    5726511010$490$5.9K
    992134,2049,12050$50$4K
    992043,1383,34020$110$3.6K
    5170132060$30$1.8K
    810012221,12020$1$180

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Derrick Sanderson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gundersen Lutheran Medical Center IncWIGeneral Acute Care Hospital$0$74.3M
    Winona Health ServicesMNGeneral Acute Care Hospital$0$13.4M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Gundersen Clinic LtdWIClinic/Center$0$10.1M
    Moundview Memorial Hospital & Clinics, IncWICritical Access Hospital$0$8.9M
    Associated Surgeons And Physicians, LLCINObstetrics & Gynecology Physician$0$8.5M
    Palmer Lutheran Health Center, IncIARural Health Clinic/Center$0$6M
    Memorial Hospital Of BoscobelWICritical Access Hospital$0$5.4M
    Tri-county Memorial Hospital, Inc.WICritical Access Hospital$0$4.1M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0

    Nearby Providers

    Other providers in the same ZIP code as Derrick Sanderson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hiawatha Valley Mental Health Center Inc.MNMental Health Clinic/Center (Including Community Mental Health Center)$0$26.8M
    Options Plus Home Care LLCMNHome Health Agency$0$4.7M
    Winona Senior Living, LLCMNAssisted Living Facility$0$4.3M
    Winona Area Ambulance Service, Inc.MNLand Ambulance$444.9K$1.4M
    Matthew ThompsonMNFamily Medicine Physician$68.8K$0
    Mark MartinMNPain Medicine (Physical Medicine & Rehabilitation) Physician$34.4K$20.2K
    Matthew HayesMNDiagnostic Radiology Physician$48.3K$0
    Mario EinsmanMNClinical Social Worker$41.9K$1.4K
    Everett BeguinMNFamily Medicine Physician$37.4K$0
    Thomas NachtigalMNPodiatrist$33.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Minnesota Distribution
    Derrick Sanderson — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota