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    OpenPayerNPI Medicare & MedicaidPeter Vondoersten
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    Peter Vondoersten — Billing Profile & Reimbursement Data

    NPI 1619962990 · Missoula, MT · Otolaryngology Physician

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    Peter Vondoersten is a otolaryngology physician provider located in Missoula, Montana. This profile covers 10 Medicare and 11 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
    OrganizationPeter Vondoersten
    Address700 W Kent Ave
    CityMissoula
    StateMT
    ZIP59801
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicare$63K
    Medicaid$40.3K

    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
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…20$970$19.4K
    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…190$90$16.1K
    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…70$110$8.2K
    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…90$60$5.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.90$30$2.8K
    21235The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.10$230$2.7K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$160$2.4K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…100$20$2.1K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.20$120$2K
    69220The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.40$50$1.6K

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993011020$950$17.1K
    992145801,810100$70$12.4K
    31231233050$120$8.6K
    992138271,73090$50$7.2K
    9920412878030$100$4.8K
    2123511010$230$2.7K
    6943321020$120$2.1K
    69210146030$30$1.6K
    6922011030$40$1.3K
    9250411040$10$590

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…380$60$24.2K
    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…80$150$11.8K
    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…30$90$2.7K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…40$30$1.3K
    4040FPneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all…20$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications50$0$0
    G8482Influenza immunization administered or previously received10$0$0
    G8483Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or…20$0$0
    G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required20$0$0
    G8783Normal blood pressure reading documented, follow-up not required30$0$0

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Montana median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…411530580$70$224.6K
    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…323520730$40$196.4K
    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…143190130$70$37.2K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…31060$10$1.7K
    4040FPneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all…31020$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications3030240$0$0
    G8482Influenza immunization administered or previously received810100$0$0
    G8483Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or…51040$0$0
    G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required61040$0$0
    G8783Normal blood pressure reading documented, follow-up not required41040$0$0

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bozeman Health Deaconess HospitalMTFamily Medicine Physician$0$7.7M
    Bozeman Health Deaconess HospitalMTGeneral Acute Care Hospital$0$4.5M
    Marcus Daly Memorial Hospital CorporationMTCritical Access Hospital$0$4.4M
    Bozeman Health Deaconess HospitalMTEmergency Medicine Physician$0$2.8M
    Christopher BakerMTRadiation Oncology Physician$1.3M$0
    Providence St Joseph Medical CenterMTFamily Medicine Physician$0$1.1M
    Providence St Joseph Medical CenterMTCritical Access Hospital$0$654.7K
    Bozeman Health Deaconess HospitalMTOxygen Equipment & Supplies (DME)$0$583.5K
    Rosemary EppersonMTClinical Social Worker$0$366.8K
    James SlaterOKAdult Reconstructive Orthopaedic Surgery Physician$352.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Montana Mental Health CenterMTMental Health Clinic/Center (Including Community Mental Health Center)$0$87.8M
    Opportunity Resources IncMTDevelopmentally Disabled Services Day Training Agency$0$48.5M
    Missoula Developmental Service CorpMTNon-emergency Medical Transport (VAN)$0$33.6M
    Express Personnel ServicesMTNursing Care Agency$0$20.4M
    3 Rivers Mental Health Solutions LLCMTCommunity/Behavioral Health Agency$0$16.7M
    Missoula County Public SchoolsMTLocal Education Agency (LEA)$0$16.3M
    Meadowlark Home Care LLCMTHome Health Agency$0$12.9M
    Client Dedicated Services, IncMTHome Health Agency$0$10.6M
    Children's Dentistry Of The RockiesMTPediatric Dentistry$0$10.1M
    Missoula Pediatric Dentistry PCMTPediatric Dentistry$0$9.3M

    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. Montana Distribution
    Peter Vondoersten — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Peter Vondoersten — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana