Dr. Todd Vanderheiden, MD
777 Bannock St, Mc 0188, Denver, CO 80204 • +1-299-555-8675
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Denver Percentiles
NPI #1528114105 • CBSA 19740 • Orthopedic Surgery
Within the Denver, CO (CBSA 19740) Orthopedic Surgery cohort, Dr. Todd Vanderheiden, MD with sub-specialty concentration in 54 Active CMS HCPCS Codes ranks at the 16.13th municipal percentile and 18.49th CO percentile (-0.55σ Z-score) based on 992 billed procedures for 242 patients.
Fee-schedule auditing of NPI 1528114105 highlights 357 annual claims for 99213 (16.13th Denver percentile; $345–$472 self-pay corridor) plus 268 encounters under 20610 and 188 under 73562.
At 777 Bannock St, Mc 0188 (80204), Dr. Todd Vanderheiden, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$213.00 per new consult (4.72/5 bedside rating).
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Vanderheiden coordinates 54 Active CMS HCPCS Codes workups from 777 Bannock St, Mc 0188 (+1-299-555-8675).
Compared against Denver, CO Orthopedic Surgery peers
992 annual services across 242 beneficiaries
Standard deviations from CO Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 357 | 16.13th | $345 – $472 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 268 | 19.13th | $367 – $503 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 188 | 15.13th | $206 – $282 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 109 | 15.13th | $494 – $678 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 69 | 14.13th | $3184 – $4363 |
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Dr. Todd Vanderheiden, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vanderheiden National Provider Identifier | NPI #1528114105 (MD) | CMS NPPES Registry (80204) |
| Dr. Vanderheiden Denver CMS Volume Rank | 16.13th Pct (992 CMS svcs; Z -0.549σ) | CMS Medicare Part B (CO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $213.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Denver, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $213.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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