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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdroy Mcmillan
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    Edroy Mcmillan — Billing Profile & Reimbursement Data

    NPI 1063415347 · Mansfield, OH · Obstetrics & Gynecology Physician

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    Edroy Mcmillan is a obstetrics & gynecology physician provider located in Mansfield, Ohio. This profile covers 14 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
    OrganizationEdroy Mcmillan
    Address500 S Trimble Rd
    CityMansfield
    StateOH
    ZIP44906
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedMay 31, 2005

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

    Payer SourceTotal Paid
    Medicare$98.6K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg2,820$20$50.8K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…230$90$19.6K
    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…130$50$7.1K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination140$40$5.2K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…230$20$5K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory100$40$4.1K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…100$40$3.5K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…20$60$840
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…50$10$530
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.20$30$410

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971222302,880$20$79.5K
    77067269440360$40$21.3K
    77063261430330$30$13.3K
    85025489610110$10$11.7K
    992135,76220,00070$50$6.6K
    364151,2591,91090$10$5.4K
    8751091020$20$2.9K
    7706529732060$30$2.2K
    G027930433070$20$2K
    7708022658060$10$1.9K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Central Ohio Family Care Center, IncOHSpecialist$0$15.3M
    Saurabh DasOHMedical Oncology Physician$885K$0
    Jason SeavoltOHRadiation Oncology Physician$695.3K$0
    Nhan LuuOHNephrology Physician$396.1K$0
    Steven BenedictOHNeurology Physician$347.4K$0
    Amit TandonOHOphthalmology Physician$320.9K$0
    Scott FosterOHAdult Reconstructive Orthopaedic Surgery Physician$309.4K$0
    Stephen VijanFLUrology Physician$229.7K$0
    Abdullah AlghamdiOHCritical Care Medicine (Internal Medicine) Physician$168.8K$0
    Ahmed AmroINInterventional Cardiology Physician$166.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avita Ontario HospitalOHGeneral Acute Care Hospital$0$19.7M
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$18.8M
    Healing Hearts Counseling Center, LLCOHCommunity/Behavioral Health Agency$0$15.8M
    Third Street Community Clinic, Inc.OHFederally Qualified Health Center (FQHC)$0$12.9M
    Ohio Eye Associates, Inc.OHAmbulatory Surgical Clinic/Center$923.8K$223.3K
    Harold BallitchOHOphthalmology Physician$336.4K$0
    Krysta BeshalerOHOphthalmology Physician$320.3K$0
    Christ TicorasOHDermatology Physician$310K$0
    Jackson LiuOHNephrology Physician$309.7K$0
    Sunil AkkinaOHNephrology Physician$265.9K$600

    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. Ohio Distribution
    Edroy Mcmillan — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio