Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Terence Vanderheiden (NPI 1598857005)

Field	Value
Entity Type	Individual
Organization	Terence Vanderheiden
Address	111 17th Ave E
City	Alexandria
State	MN
ZIP	56308
Taxonomy	Podiatrist
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicare	$23K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	310	$50	$14.5K
99203	The 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…	90	$50	$4.7K
99214	The 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…	20	$70	$1.7K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	20	$70	$1.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	20	$20	$360
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	40	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Terence Vanderheiden — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	134	140	190	$30	$11.9K
99214	8,342	10,100	70	$80	$8.1K
99213	212	9,120	50	$50	$4K
11750	26	40	20	$90	$2.3K
99203	148	2,690	20	$70	$2.3K
11719	7	20	40	$10	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas County Hospital	MN	General Acute Care Hospital	$0	$17.7M
Douglas County Hospital	MN	Family Medicine Physician	$0	$5.7M
Jeffrey Crowley	CA	Dermatology Physician	$2.3M	$0
Alison Chang	CA	Hematology & Oncology Physician	$1.8M	$0
Horng Bruce Lin	CA	Vascular & Interventional Radiology Physician	$1.7M	$0
Harrison Wang	CA	Diagnostic Radiology Physician	$1.3M	$0
Daniel Schiffner	CA	Radiation Oncology Physician	$1.1M	$0
Frank Lai	CA	Urology Physician	$879.4K	$0
George Tischenko	CA	Orthopaedic Surgery Physician	$683.5K	$0
Philip Delio	CA	Neurology Physician	$601K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Public Health	MN	Public Health or Welfare Agency	$4.9K	$12.3M
West Central Dental Resource, Inc	MN	Dentist	$0	$10.4M
Northway Academy, Inc.	MN	Developmental Disabilities Clinic/Center	$0	$4.6M
Oakdale Health Enterprises, Inc.	MN	Ambulance	$840.4K	$3M
Vance Thompson Vision Surgery Center Alexandria, LLC	MN	Ambulatory Surgical Clinic/Center	$1.3M	$0
Center For Pain Management Ambulatory Surgery, Ltd	MN	Pain Medicine Physician	$976.2K	$0
Deborah Ristvedt	MN	Ophthalmology Physician	$507.8K	$0
James Andrews	MN	Physical Medicine & Rehabilitation Physician	$265.8K	$0
Bruce Evink	MN	Family Medicine Physician	$255.6K	$0
Center For Pain Management Ambulatory Surgery, Ltd	MN	Ambulatory Surgical Clinic/Center	$236.2K	$0

Terence Vanderheiden — Billing Profile & Reimbursement Data

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Terence Vanderheiden — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References