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    OpenPayerNPI Medicare & MedicaidTodd Vanderheiden
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    Todd Vanderheiden — Billing Profile & Reimbursement Data

    NPI 1528114105 · Denver, CO · Orthopaedic Surgery of the Spine Physician

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    Todd Vanderheiden is a orthopaedic surgery of the spine physician provider located in Denver, Colorado. This profile covers 15 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
    OrganizationTodd Vanderheiden
    Address777 Bannock St
    CityDenver
    StateCO
    ZIP80204
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$111.9K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…70$300$20.4K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,140$18.2K
    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…130$90$11.8K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…20$610$9.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…50$200$9.2K
    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…60$140$8.8K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$590$7.7K
    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…100$70$6.5K
    22634In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The…10$380$4.9K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.40$100$3.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22633477020$900$21.7K
    22614328060$210$15.9K
    992142,9458,16080$80$11.3K
    22842719020$400$9.1K
    7214818830060$90$8.3K
    992151,0913,23040$110$8.1K
    2221472020$440$7.9K
    992132,6137,20070$60$6.6K
    228535513040$130$6.5K
    22634243020$250$6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOGeneral Practice Physician$0$95M
    Denver Health And Hospital AuthorityCOGeneral Acute Care Hospital$0$77.1M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$68.5M
    Denver Health And Hospital AuthorityCOAmbulance$3.4M$46.3M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$40.3M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$29.4M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$28.2M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$25.5M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$17.4M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$15.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOUrgent Care Clinic/Center$0$12M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$9.5M
    Fresenius Medical Care Dialysis Services Colorado LLCCOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.7M
    Youth Vision Of Denver, LLCCOOptometrist$0$7.3M
    Denver Youth Dentistry, PCCOGeneral Practice Dentistry$0$5.8M
    Stadium Medical, Inc.COAmbulance$1.1M$4.2M
    Mile High Dental Prof LLCCOGeneral Practice Dentistry$0$3.5M
    Cristos IfantidesCOOphthalmology Physician$305.4K$0
    Misha MillerCOMOHS-Micrographic Surgery Physician$296.6K$0
    David OppermanCOOtolaryngology Physician$214.5K$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. Colorado Distribution
    Todd Vanderheiden — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado