Physician

Michael K Vandenberg, MD

According to 2025 Medicare claims, Michael Vandenberg, MD (NPI: 1396728085) practices rheumatology in the Pensacola-Ferry Pass-Brent, FL market, with the plurality of this provider's patient population coming from Escambia, FL. This provider's primary affiliated billing organization is WEST FLORIDA MEDICAL CENTER CLINIC, PA (NPI: 1568452688; TIN: 592193856) and primary practice location at 32514-6050.

Vandenberg's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,010 traditional Medicare patients, billed 145,910 HCPCS/CPT codes, and received $2,656,371 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,198 prescription claims across 784 beneficiaries totaling $1,763,284 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2019 DME data shows 11 claims. Open Payments data shows 173 records totaling $3,758. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $866,328 to $1,763,284. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $3,884 to $4,699.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.3M$2.7M2015 Medicare payment: $1,920,268 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,051,776 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,021,007 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,932,941 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,157,614 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,217,925 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,231,082 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,390,534 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,440,311 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,656,371 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,07363,747$1,920,268
20161,04461,809$2,051,776
20171,00960,315$2,021,007
20181,01070,124$1,932,941
20191,09881,491$2,157,614
20201,07587,346$2,217,925
20211,09198,676$2,231,082
20221,103124,116$2,390,534
20231,065122,375$2,440,311
20241,010145,910$2,656,371

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$884K$1.8M2015 Drug cost: $866,328 (USD; Tot_Drug_Cst)2016 Drug cost: $950,101 (USD; Tot_Drug_Cst)2017 Drug cost: $1,134,200 (USD; Tot_Drug_Cst)2018 Drug cost: $1,488,643 (USD; Tot_Drug_Cst)2019 Drug cost: $1,305,733 (USD; Tot_Drug_Cst)2020 Drug cost: $1,233,490 (USD; Tot_Drug_Cst)2021 Drug cost: $1,424,128 (USD; Tot_Drug_Cst)2022 Drug cost: $1,768,090 (USD; Tot_Drug_Cst)2023 Drug cost: $1,764,319 (USD; Tot_Drug_Cst)2024 Drug cost: $1,763,284 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156245,749$866,328
20166165,690$950,101
20175985,430$1,134,200
20185685,172$1,488,643
20196115,140$1,305,733
20206185,236$1,233,490
20216175,064$1,424,128
20226655,386$1,768,090
20237065,479$1,764,319
20247846,198$1,763,284

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.5K$3.0K2015 Medicare payment: $2,988 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,795 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,491 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $926 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R12$2,988
2016N/R14$1,795
2017N/RN/RN/R
2018N/R23$1,491
2019N/R11$926
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6941,399$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6411,010$63
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's552838$13
96372Injection of drug or substance under skin or into muscle247447$11
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2842,671$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab1103,172$798,749
Enbrel SureclickEtanercept31868$245,594
Xeljanz XrTofacitinib Citrate381,140$214,544
Humira PenAdalimumab17476$120,914
Cimzia (2 Pack)Certolizumab Pegol13364$86,480

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.173$3,758Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael K. Vandenberg, MD?

Tedicare shows public-source Medicare data for Michael K. Vandenberg, MD (NPI 1396728085), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michael K. Vandenberg, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael K. Vandenberg, MD?

Michael K. Vandenberg, MD is linked to WEST FLORIDA MEDICAL CENTER CLINIC, PA (billing NPI 1568452688) in the available physician profile data.

Does Michael K. Vandenberg, MD have Open Payments data?

Michael K. Vandenberg, MD has 173 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.