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    OpenPayerNPI Medicare & MedicaidAmy Vanderwall
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    Amy Vanderwall — Billing Profile & Reimbursement Data

    NPI 1659836914 · Williamsport, PA · Primary Care Nurse Practitioner

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    Amy Vanderwall is a primary care nurse practitioner provider located in Williamsport, Pennsylvania. This profile covers 5 Medicare and 2 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
    OrganizationAmy Vanderwall
    Address33 W 3rd St Ste 201
    CityWilliamsport
    StatePA
    ZIP17701
    TaxonomyPrimary Care Nurse Practitioner
    NPI EnumeratedJanuary 31, 2019

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

    Payer SourceTotal Paid
    Medicare$89K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96521The provider refills a portable pump with a chemotherapy drug.390$80$31.2K
    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…370$80$30.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.380$40$15.7K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.750$10$9.7K
    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…20$80$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96521210450$90$41.3K
    992143,04623,230100$80$14.5K
    963651131070$50$5.3K
    992047,63410,29030$110$5K
    9636629060$20$2K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…30$0$0
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…100$0$0

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…622950200$20$24K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…668810140$10$10.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mrudula JelishDENurse Practitioner$132K$0
    Nicole MosleyGANurse Practitioner$127.2K$0
    Elizabeth GersonILAdult Health Nurse Practitioner$121.9K$1.9K
    Bethany EngelPAPhysician Assistant$117.2K$0
    Debra RapciewiczMNNurse Practitioner$72.7K$0
    Jennifer AmourPAPrimary Care Nurse Practitioner$71.9K$0
    Yvonne RhoadesFLFamily Nurse Practitioner$45K$0
    Tammy DibricidaPANurse Practitioner$41.4K$0
    Suzanne WaryPAAdult Health Nurse Practitioner$38.3K$0
    Kimberly CarlbergIAFamily Nurse Practitioner$19.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hope Enterprises, Inc.PAVoluntary or Charitable Agency$0$36.1M
    River Valley HealthPAFederally Qualified Health Center (FQHC)$0$22.2M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$17.6M
    Crossroads Counseling, IncPAClinic/Center$0$11.2M
    Pediatric Services Of America, LLCPAHome Health Agency$0$10.8M
    Upmc WilliamsportPAGeneral Acute Care Hospital$0$9.7M
    Diakon Child, Family & Community MinistriesPACommunity/Behavioral Health Agency$0$9.1M
    Lycoming-clinton Joinder BoardPACase Management Agency$0$8.4M
    Lycoming-clinton Mhmr ProgramPAPsychologist$0$7.8M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$7.7M

    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
    Amy Vanderwall — 2 of 5 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Amy Vanderwall — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania