Physician

Michael J Vander Kooy, M.D.

According to 2025 Medicare claims, Michael Kooy, M.D. (NPI: 1760444541) practices radiation oncology in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-4560. Kooy is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Kooy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 185 traditional Medicare patients, billed 986 HCPCS/CPT codes, and received $62,605 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 147 prescription claims across 55 beneficiaries totaling $3,365 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). No Open Payments records. 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 moved from a higher plateau to a lower plateau, from $8,105 to $3,365. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$48K$97K2015 Medicare payment: $72,159 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $76,226 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $82,137 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $96,796 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $68,469 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $78,587 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $69,952 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $84,958 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $84,220 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $62,605 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151561,303$72,159
20161551,244$76,226
20171821,262$82,137
20181891,565$96,796
20191841,060$68,469
20201621,259$78,587
20211811,124$69,952
20221841,191$84,958
20231781,256$84,220
2024185986$62,605

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$4.1K$8.1K2015 Drug cost: $8,105 (USD; Tot_Drug_Cst)2016 Drug cost: $6,888 (USD; Tot_Drug_Cst)2017 Drug cost: $5,179 (USD; Tot_Drug_Cst)2018 Drug cost: $4,626 (USD; Tot_Drug_Cst)2019 Drug cost: $3,564 (USD; Tot_Drug_Cst)2020 Drug cost: $3,797 (USD; Tot_Drug_Cst)2021 Drug cost: $2,893 (USD; Tot_Drug_Cst)2022 Drug cost: $2,123 (USD; Tot_Drug_Cst)2023 Drug cost: $3,443 (USD; Tot_Drug_Cst)2024 Drug cost: $3,365 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201538104$8,105
20163593$6,888
201750119$5,179
201842106$4,626
201955119$3,564
202052135$3,797
20213994$2,893
202246104$2,123
202347127$3,443
202455147$3,365

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
77427Radiation treatment management, 5 treatment sessions33141$139
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7294$63
77334Design and construction of complex radiation treatment device2997$44
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more7084$36
77014Ct guidance for insertion of radiation therapy fields40306$33

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Tamsulosin HclTamsulosin Hcl1118,423$2,146

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Michael J. Vander Kooy, M.D.?

Tedicare shows public-source Medicare data for Michael J. Vander Kooy, M.D. (NPI 1760444541), 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 J. Vander Kooy, M.D. have ACO affiliation data?

Michael J. Vander Kooy, M.D. is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Michael J. Vander Kooy, M.D.?

Michael J. Vander Kooy, M.D. is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Michael J. Vander Kooy, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.