Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Mcwhorter
    Ask Trek AI about this page

    Andrew Mcwhorter — Billing Profile & Reimbursement Data

    NPI 1376524918 · Baton Rouge, LA · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Andrew Mcwhorter — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Andrew Mcwhorter is a otolaryngology physician provider located in Baton Rouge, Louisiana. This profile covers 13 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Mcwhorter
    Address4950 Essen Ln
    CityBaton Rouge
    StateLA
    ZIP70809
    TaxonomyOtolaryngology Physician
    NPI EnumeratedNovember 10, 2005

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

    Payer SourceTotal Paid
    Medicare$54.9K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64617The provider performs percutaneous chemodenervation of the larynx on one side, which may be guided by needle electromyography.130$100$12.7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.210$50$9.7K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…90$80$7.6K
    31573The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects a…40$160$6.8K
    99204The provider sees a new 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 provider…60$100$6.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…150$30$3.6K
    31541The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of an abnormal mass of tissues in the voice box of the patient. He may remove the…10$170$1.9K
    31574The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects one…10$110$1.5K
    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…40$40$1.5K
    99203The provider sees a new 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 provider…20$60$1.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64617110130$100$12.7K
    3157931090$80$9.2K
    992134,1796,06070$50$8.1K
    3157311040$150$6.8K
    992046413,19030$110$4.8K
    31575115040$80$3.6K
    992031,2162,10030$70$3K
    992121141,16030$30$2.3K
    3154111010$170$1.9K
    3162261020$80$1.6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Our Lady Of The Lake Physician Group LLCLAInternal Medicine Physician$0$134M
    Lourdes Physician Group LLCLAFamily Medicine Physician$0$7.9M
    Our Lady Of The Lake Physician Group LLCLAFamily Medicine Physician$0$4.6M
    Gerald MiletelloLAMedical Oncology Physician$1.3M$0
    Bryan BienvenuLAHematology & Oncology Physician$964.2K$0
    Christopher MccanlessLAHematology & Oncology Physician$405.8K$0
    James MorrisLAUrology Physician$359.3K$430
    Pavani EllipeddiLAMedical Oncology Physician$316.8K$0
    Denzil MoraesLAInterventional Cardiology Physician$268.6K$0
    Thomas LemayMSInterventional Cardiology Physician$248.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prescribed Pediatric Extended Care, IncLAMedically Fragile Infants and Children Day Care$0$40.3M
    Cognitive Development Center Of Baton RougeLAMental Health Clinic/Center (Including Community Mental Health Center)$0$29M
    Baton Rouge General Medical CenterLAGeneral Acute Care Hospital$0$24.3M
    Serenity Treatment Center Of Louisiana LLCLASubstance Abuse Rehabilitation Facility$0$22.4M
    Special Needs Unlimited, L.L.C.LADevelopmental Disabilities Clinic/Center$0$22.4M
    Caregiver Homes Of Louisiana, IncLACase Management Agency$0$15.9M
    Baton Rouge Treatment Center, LLCLAMethadone Clinic$139.4K$13.5M
    Leading Health Care Of La, Inc.LAIn Home Supportive Care Agency$0$12.8M
    Alliance Care LLCLAIn Home Supportive Care Agency$0$12.3M
    Hometown Senior Care LLCLAIn Home Supportive Care Agency$0$11M

    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. Louisiana Distribution
    Andrew Mcwhorter — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana