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    OpenPayerNPI Medicare & MedicaidGustaaf De Ridder
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    Gustaaf De Ridder — Billing Profile & Reimbursement Data

    NPI 1528350923 · Danville, PA · Anatomic Pathology & Clinical Pathology Physician

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    Gustaaf De Ridder is a anatomic pathology & clinical pathology physician provider located in Danville, Pennsylvania. This profile covers 8 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
    OrganizationGustaaf De Ridder
    Address100 N Academy Ave
    CityDanville
    StatePA
    ZIP17822
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 4, 2011

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

    Payer SourceTotal Paid
    Medicare$47.4K
    Medicaid$310

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…1,490$10$17.9K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.760$10$9.1K
    36514Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…110$70$7.4K
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.320$20$5.4K
    86335The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…280$20$4.7K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…70$40$2.7K
    86078The blood bank physician investigates a transfusion reaction, including the possible transmission of disease. She then interprets the results and provides a written report.10$40$480
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.20$20$310

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3651431040$70$6.9K
    84165880170$10$6.3K
    86334770100$20$4.7K
    84166540100$20$2.8K
    8633564070$20$2.5K
    8607783040$40$2.3K
    8607861010$40$900
    85060669030$20$870

    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
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…70$10$340

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…357080$10$7.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher CessnaPAOphthalmology Physician$1.2M$0
    Nilesh PatelPAHematology & Oncology Physician$809.2K$0
    Hieu HuynhVAClinical Cardiac Electrophysiology Physician$642.5K$0
    Brian OppermannPARheumatology Physician$514.7K$3.6K
    Bryan MartinPACardiovascular Disease Physician$449.7K$770
    Rajagopalan RenganPAPulmonary Disease Physician$360.8K$0
    Rajesh MohanNJCardiovascular Disease Physician$301.9K$0
    Jennifer BrooksPADermatology Physician$232.9K$0
    Matthew StopperPACardiovascular Disease Physician$225K$0
    Heath MackleyPARadiation Oncology Physician$218.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Gustaaf De Ridder, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Geisinger Medical CenterPAGeneral Acute Care Hospital$0$27.8M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger Medical CenterPAAir Ambulance$0$6.6M
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Rasoul MokabberiPACardiovascular Disease Physician$613.5K$590
    Frank MerchoPADiagnostic Radiology Physician$423.9K$0
    Brian GoldnerPADiagnostic Radiology Physician$310.3K$0
    Jeffrey CrosbyPADiagnostic Radiology Physician$299.3K$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. Pennsylvania Distribution
    Gustaaf De Ridder — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Gustaaf De Ridder — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania