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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Vanderheyden
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    Andrew Vanderheyden — Billing Profile & Reimbursement Data

    NPI 1093925679 · Dubuque, IA · Anatomic Pathology & Clinical Pathology Physician

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    Andrew Vanderheyden is a anatomic pathology & clinical pathology physician provider located in Dubuque, Iowa. This profile covers 17 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
    OrganizationAndrew Vanderheyden
    Address350 N Grandview Ave
    CityDubuque
    StateIA
    ZIP52001
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 23, 2007

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

    Payer SourceTotal Paid
    Medicare$126.1K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,390$30$64.6K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…740$20$15.5K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…340$30$8.7K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…130$60$7.9K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…170$50$7.7K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method30$140$4.5K
    88361The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted…130$30$4.2K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…200$20$3.1K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.60$50$3.1K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…80$20$1.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830515130900$30$40.5K
    883073090100$70$8.1K
    883414100270$30$8.1K
    8834213110150$30$6.2K
    G0416144030$160$5.5K
    84165505060$10$3.6K
    8836142090$30$3.5K
    88309445030$110$3.5K
    88173206050$50$3.3K
    8833127050$50$3.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    Timothy LaurieILGastroenterology Physician$101.1K$151.6K
    Tim MillerPADiagnostic Radiology Physician$160.4K$48.7K
    Joshua LindseyWIOrthopaedic Surgery Physician$154.3K$0
    Jeffrey FogleIAEmergency Medicine Physician$27.1K$64.5K
    Wei YangIAAnatomic Pathology & Clinical Pathology Physician$91.4K$0
    Jonathan NewberryIAAnatomic Pathology & Clinical Pathology Physician$91.1K$0
    Lori SinclairIAAnatomic Pathology & Clinical Pathology Physician$88.5K$0
    Thomas BollingerIAAnatomic Pathology & Clinical Pathology Physician$85.1K$0
    Ned AustinIAAnatomic Pathology & Clinical Pathology Physician$84.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hills And Dales Child Development CenterIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$68.5M
    Area Residential Care Inc.IAIntellectual Disabilities Intermediate Care Facility$0$32.8M
    Hillcrest Family ServicesIAChild & Adolescent Psychiatry Physician$0$32.5M
    Crescent Community Health CenterIAFederally Qualified Health Center (FQHC)$0$29.5M
    Dubuque Community School DistrictIALocal Education Agency (LEA)$0$26.6M
    The Finley HospitalIAGeneral Acute Care Hospital$0$14.1M
    City Of DubuqueIALand Ambulance$690.9K$8.9M
    Hillcrest Family ServicesIASocial Worker$0$7.1M
    Mercy Medical Center-dubuqueIAGeneral Acute Care Hospital$0$5.2M
    Hills And Dales Child Development CenterIAIntellectual Disabilities Intermediate Care Facility$0$4.7M

    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. Iowa Distribution
    Andrew Vanderheyden — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa