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    OpenPayerNPI Medicare & MedicaidPatricia Vanderpool
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    Patricia Vanderpool — Billing Profile & Reimbursement Data

    NPI 1457391138 · Urbandale, IA · Podiatrist

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    Patricia Vanderpool is a podiatrist provider located in Urbandale, Iowa. This profile covers 11 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPatricia Vanderpool
    Address7517 Douglas Ave
    CityUrbandale
    StateIA
    ZIP50322
    TaxonomyPodiatrist
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$57.9K
    Medicaid$290

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.640$30$17.1K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.240$50$12.7K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.130$50$5.8K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.230$20$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…70$60$4K
    G0127Trimming of dystrophic nails, any number230$10$3K
    99203The provider sees a new 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 provider…40$70$2.8K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.40$60$2.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$30$2.1K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$50$2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1172164160480$30$17.5K
    992132,9404,740100$50$8K
    110561990120$50$7.9K
    11055239060$40$4.2K
    11720157080$20$4K
    11057163040$50$3.8K
    G0127520150$10$3.4K
    992036811,60030$60$3.2K
    992123481,24040$30$2.1K
    10060193020$70$2K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.40$10$280

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.98110660$10$18.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$177.4M
    The Respite Connection, Inc.IACommunity/Behavioral Health Agency$0$38.1M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$16.5M
    Unitypoint At HomeIAHome Infusion Therapy Pharmacy$0$15.4M
    New Beginnings Counseling Service, LLCIACommunity/Behavioral Health Agency$0$6.3M
    A-1 Iowa Dental PLLCIADentist$0$5.4M
    Urbandale Community School DistrictIALocal Education Agency (LEA)$0$4.4M
    Primary Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$3.9M
    Acs Medical LLCIADurable Medical Equipment & Medical Supplies$0$3.6M
    Wellserve Health, Inc.IACommunity/Behavioral Health Agency$0$2.8M

    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
    Patricia Vanderpool — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Patricia Vanderpool — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa