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    OpenPayerNPI Medicare & MedicaidMichael Vanwagner
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    Michael Vanwagner — Billing Profile & Reimbursement Data

    NPI 1639551559 · Gaylord, MI · Orthopaedic Surgery Physician

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    Michael Vanwagner is a orthopaedic surgery physician provider located in Gaylord, Michigan. This profile covers 11 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
    OrganizationMichael Vanwagner
    Address2147 Professional Dr
    CityGaylord
    StateMI
    ZIP49735
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 27, 2015

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

    Payer SourceTotal Paid
    Medicare$114K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$980$52.9K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$990$16.8K
    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…110$110$12K
    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$11.5K
    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$60$6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.130$30$4.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…70$50$3.5K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.120$30$3.3K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…70$30$2.1K
    73503In this diagnostic procedure, the provider takes a minimum of four X–ray images from different projections (directions or angles) of one hip, either left or right, to check for fracture, swelling, or…40$40$1.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475836030$1,470$50.1K
    2713016624020$1,410$40.8K
    992145,57715,47080$80$11.4K
    992135,05414,81060$60$6.6K
    992043216,28030$110$4.2K
    206104301,10050$50$4.1K
    735648773040$20$1.3K
    735629487040$20$1.1K
    735023061,04040$20$1000
    7350332020$20$460

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Munson Medical CenterMIGeneral Acute Care Hospital$0$44.1M
    Munson Healthcare CadillacMIGeneral Acute Care Hospital$0$21.5M
    Lakeland Medical PracticesMIInternal Medicine Physician$0$20.9M
    Munson Healthcare Otsego Memorial HospitalMIGeneral Acute Care Hospital$0$14.2M
    Munson Healthcare GraylingMIRural Acute Care Hospital$0$13.9M
    Kalkaska Memorial Health CenterMICritical Access Hospital$0$11.3M
    Munson Healthcare Otsego Memorial HospitalMIRural Health Clinic/Center$0$6.2M
    Roberto CorpusMICardiovascular Disease Physician$386.1K$0
    Eric ManciniFLOrthopaedic Surgery Physician$282K$0
    Michael BlackmerALAdult Reconstructive Orthopaedic Surgery Physician$239K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Home & Health Services LLCMIHome Health Agency$0$10.3M
    Northern Michigan Substance Abuse Services, Inc.MISubstance Use Disorder Rehabilitation Clinic/Center$93.2K$9.7M
    Otsego County Ambulance Corps, Inc.MILand Ambulance$510.8K$1.3M
    Jeffrey ChaulkMIOphthalmology Physician$529.6K$0
    Michael HabrylMIOphthalmology Physician$271.4K$0
    Guardian Flight LLCMIAir Ambulance$203.7K$0
    Adam MoffattMIPhysician Assistant$141.5K$0
    Donald CousineauMIGeneral Practice Physician$130.6K$0
    Rosanne Freeman PazMIInternal Medicine Physician$106.4K$0
    Kristine BobishMICardiovascular Disease Physician$80.2K$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. Michigan Distribution
    Michael Vanwagner — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan