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    OpenPayerNPI Medicare & MedicaidAndrew Glick
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    Andrew Glick — Billing Profile & Reimbursement Data

    NPI 1356399935 · New Castle, DE · Urology Physician

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    Andrew Glick is a urology physician provider located in New Castle, Delaware. This profile covers 36 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
    OrganizationAndrew Glick
    Address12 Reads Way Ste 2000
    CityNew Castle
    StateDE
    ZIP19720
    TaxonomyUrology Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$587.2K
    Medicaid$0

    Key Findings

    ANDREW GLICK bills almost exclusively to Medicare: Total Medicare revenue is $587.2K while there is no Medicaid billing on file, making this effectively a single‑payer (Medicare) billing profile. This concentration in Medicare suggests payers and network managers should evaluate Medicare-based utilization and reimbursement patterns rather than dual‑payer dynamics.

    Revenue concentration is high: the precomputed top‑3 Medicare codes (55874, J0897, J9217) account for 52.2% of this provider's total Medicare revenue. Individually those top codes are 55874 at 24.1%, J0897 at 16.2%, and J9217 at 11.9%, indicating a small set of services drive a majority of Medicare receipts.

    The code mix signals a urologic practice with a strong prostate oncology and in‑office injection/infusion component. High‑revenue procedure codes such as 55874 (prostate spacer placement), 55875 (brachytherapy needle placement), A4648 (implantable tissue marker), and drug codes J9217 (leuprolide) and J0897 (denosumab) point to active management of prostate cancer patients and routine administration of injectable therapies in the office setting.

    Operationally, this provider runs high outpatient visit and procedure throughput: 99213 appears 1.1K times with $61 avg paid/claim and is labeled an extreme outlier (ranks #5369 of 457151, 99th percentile), while procedural/diagnostic volumes such as 76872 (145 claims, ranks #138 of 4483, 97th percentile) and 96402 (155 claims, ranks #211 of 4765, 95th percentile) are also notably elevated. These patterns are consistent with frequent short office visits combined with procedure‑day service bundles and in‑office drug administration.

    For competitive standing, the provider is a high‑volume national participant for several specific codes: 55874 ranks #28 of 557 (95th percentile) and 76872 ranks #138 of 4483 (97th percentile), and J9217 ranks #64 of 3683 (98th percentile, described as an extreme outlier). These ranks indicate regional or national prominence for prostate‑related imaging/procedure and ADT (androgen deprivation therapy) injections, even if the practice is not dominant across all urology billing codes.

    Certain codes are statistical outliers or notably above typical national volume, which has direct operational implications. Examples include 99213 and J9217 (both described as extreme outliers) and 55874 and 55700 (both described as notably above typical national volume); such outlier status signals services that are disproportionately delivered by this provider compared with peers and may merit focused review for capacity, contracting, or utilization management.

    Coding changes could affect future revenue mix: 55700 is listed as "Code deleted December 31, 2025." This code currently represents $14.4K (2.5% of Medicare revenue) and ranks #69 of 4425 (98th percentile); its deletion could shift billings to replacement codes or alter reported procedure volumes and should be tracked for post‑2025 reporting and reconciliation.

    The practice shows a sustained role in longitudinal/chronic care management alongside procedure work: chronic care codes such as 99490 (286 claims, $50 avg paid/claim, $14.3K revenue) and 99426 (212 claims, $48 avg paid/claim, $10.2K revenue) plus mid‑level E/M 99214 activity (155 claims, $92 avg paid/claim, $14.3K revenue) indicate ongoing management of complex patients in addition to episodic procedural care. Coupled with an NPI enumerated on 2006-05-05 (~20 years ago), the data depict an established urology practice with recurring follow‑up and chronic care workflows largely funded by Medicare.

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…60$2,260$137.9K
    J0897Injection, denosumab, 1 mg5,160$20$92.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg520$130$68.1K
    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…1,080$60$65.6K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…200$170$35K
    A4648Tissue marker, implantable, any type, each90$230$21.2K
    55700Code deleted December 31, 2025.140$110$14.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…290$50$14.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…160$90$14.3K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.30$440$14K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089717603,360$20$132.9K
    5587411040$1,870$67.2K
    877981520700$30$59.6K
    J9217330160$130$31.1K
    5587521010$1,260$29.1K
    5059042030$760$26.5K
    992149001,830150$80$25.5K
    520001030100$160$21.4K
    J91554103,360$1$19.9K
    964012130110$60$18.4K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Christiana Care Health Services IncDENeurology Physician$0$5.1M
    Christiana Care Health Services, IncDEFamily Medicine Physician$0$5.1M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Christiana Care Health Services, IncDEPsychiatry Physician$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Delaware & Marylands Eastern Shore, IncDEIntellectual & Developmental Disabilities Psychologist$0$315.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$61.2M
    Conexio Care, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$15.8M
    Nurses 'n Kids, Inc.DEMedically Fragile Infants and Children Day Care$0$14.3M
    Delaware Diagnostic Labs, LLCDEClinical Medical Laboratory$3.1M$8.5M
    Point Of Hope Inc.DEIntellectual & Developmental Disabilities Psychologist$0$10M
    Anesthesia Services PADEAnesthesiology Physician$0$6.3M
    Collaborative Effort To Reinforce Transition Success, IncDEIntellectual & Developmental Disabilities Psychologist$0$4M
    Abundant Life Community Development CorporationDEIntellectual & Developmental Disabilities Psychologist$0$2M
    State Of DelawareDELocal Education Agency (LEA)$0$2M

    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. Delaware Distribution
    Andrew Glick — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware