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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Vanderen
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    John Vanderen — Billing Profile & Reimbursement Data

    NPI 1811986094 · Ashland, KY · Clinical Cardiac Electrophysiology Physician

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    John Vanderen is a clinical cardiac electrophysiology physician provider located in Ashland, Kentucky. This profile covers 20 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
    OrganizationJohn Vanderen
    Address613 23rd St
    CityAshland
    StateKY
    ZIP41101
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedOctober 19, 2005

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

    Payer SourceTotal Paid
    Medicare$75.7K
    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.

    20 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…440$50$20.3K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…30$570$16.4K
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…10$710$9.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$130$5.8K
    33228The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…20$240$3.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.510$10$2.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$40$2.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…40$50$2.2K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…100$20$2.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93656202020$710$17.7K
    93306287330240$60$16K
    992146,9607,230110$70$14.1K
    3334073020$550$13.8K
    992322,3172,860100$60$11.6K
    992238871,94040$130$8.6K
    992134587,25080$50$7.7K
    9329470120130$20$4.5K
    992221,7142,07030$90$4.5K
    3322821020$240$3.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashland Hospital CorporationKYGeneral Acute Care Hospital$0$222.9M
    King's Daughters Medical CenterMSGeneral Acute Care Hospital$0$32.2M
    State Of Mississippi - University Of Mississippi Medical CenterMSCritical Access Hospital$0$7.5M
    Kings Daughters Medical Specialties IncKYFamily Medicine Physician$0$6.7M
    Kings Daughters Medical Specialties Inc.KYCardiovascular Disease Physician$0$6.3M
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Robert FriedKYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$719.4K$0
    Terry JusticeKYRadiation Oncology Physician$597.6K$0
    Ibraiz IqbalKYInterventional Cardiology Physician$197K$392.3K
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathways, Inc.KYMental Health Clinic/Center (Including Community Mental Health Center)$0$95.4M
    Pathways IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$82.2M
    A Brighter FutureKYCommunity/Behavioral Health Agency$0$39.8M
    A Center 4 ChangeKYCounseling Psychologist$0$22M
    Fivco Add Cdo As Fiscal AgentKYSupports Brokerage Agency$0$21M
    Our Lady Of Bellefonte Hospital IncKYGeneral Acute Care Hospital$0$12.1M
    Advocate Medical Services, LLCKYDurable Medical Equipment & Medical Supplies$0$10.6M
    Ultimate Care Behavioral Health ServicesKYMental Health Clinic/Center (Including Community Mental Health Center)$0$10.6M
    Wecare Medical, LLCKYOxygen Equipment & Supplies (DME)$0$9.9M
    Nancy MussetterKYDentist$0$8M

    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. Kentucky Distribution
    John Vanderen — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky