Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAaron Vanderburg
    Ask Trek AI about this page

    Aaron Vanderburg — Billing Profile & Reimbursement Data

    NPI 1518491984 · Apo, AP · Physician Assistant

    Customize your policy alerts

    Sign up for Aaron Vanderburg — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Aaron Vanderburg is a physician assistant provider located in Apo, Armed Forces Pacific. This profile covers 10 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. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAaron Vanderburg
    AddressBldg S180 American Ave
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96260
    TaxonomyPhysician Assistant
    NPI EnumeratedApril 12, 2017

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

    Payer SourceTotal Paid
    Medicare$13.5K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: total Medicare revenue is $13.5K and there is no Medicaid billing on file, so all reported public-payer activity in the dataset is Medicare-based. That scale is small in absolute terms, indicating this NPI is a low‑revenue Medicare contributor rather than a high-volume billing entity.

    Revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 75.2% of the provider's Medicare revenue, with 99214 contributing $4.8K (35.9%), 99204 contributing $3.5K (26.3%), and 87811 contributing $1.8K (13.0%). This concentration means a few service types—office E/M visits and SARS–CoV–2 immunoassay testing—dominate the practice’s Medicare billing.

    The code mix points to an outpatient, office-based practice model that also performs point-of-care infectious disease testing: 99214 and 99204 are evaluation and management office visits (established and new patients respectively), while 87811, 87804, and 87880 are rapid immunoassays for SARS–CoV‑2, influenza, and strep. Ancillary services appear limited but present (for example, 71046 chest x‑ray at $405, 27 claims), suggesting basic imaging capability or access to radiology within the outpatient workflow.

    Competitive standing across codes is generally modest. 99214 is characterized as "typical, unremarkable volume" and ranks in the 34th percentile nationally, 99204 is "typical, unremarkable volume" at the 57th percentile, while infectious-testing codes show relatively stronger standing with 87811 described as "typical, unremarkable volume" at the 72th percentile and 87804 at the 81th percentile; overall this provider is not a dominant national player on major E/M codes but has comparatively higher relative activity in rapid infectious-disease testing.

    Operational volume is limited and uneven: claim counts are modest (e.g., 62 claims for 99214, 39 for 99204, and 81 for 87804), and many listed codes have low claim counts and low dollar impact (for example 81003 produced $36 from 18 claims and 96372 produced $112 from 14 claims). These counts and dollar amounts reinforce that patient throughput and per-code revenue are small, so shifts in a few services could materially change the revenue profile.

    Tenure on file is moderate: the NPI was enumerated 2017-04-12 (~9 years ago), indicating the provider has been active under this NPI for multiple years but is not a long-tenured multi-decade registrant. That tenure supports the observed billing pattern as established rather than transient.

    From a risk and business-impact perspective, the combination of low absolute Medicare revenue ($13.5K) and heavy dependence on a few codes (top 3 = 75.2%) creates exposure to changes in demand or reimbursement for office E/M and rapid infectious testing. For payer or network planning, this suggests the provider is a small-volume outpatient resource with particular utility for point-of-care infectious testing but limited overall Medicare revenue footprint.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$80$4.8K
    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…40$90$3.5K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…40$40$1.8K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.80$20$1.3K
    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…20$30$760
    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…10$40$560
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$20$410
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10$20$180
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…10$10$110
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…20$1$40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921482060$80$9.1K
    99213131030$50$4.2K
    9920441030$100$3.5K
    9920351020$60$2.6K
    71046410150$10$2.1K
    8781121050$40$1.9K
    8780431090$20$1.3K
    9637251030$10$350
    8788041020$20$340
    8100331020$1$50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    NPI 1174724744——$148.7K$0
    Michael MeansWYEmergency Medicine Physician$29.5K$0
    Christopher MetcalfAP (Armed Forces Pacific)Physician Assistant$17.6K$0
    Steven MartinWYPhysician Assistant$5K$0
    George CassidyAA (Armed Forces Americas)Physician Assistant$5K$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. Armed Forces Pacific Distribution
    Aaron Vanderburg — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific