Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Andrew Mcalpin (NPI 1386714129)

Field	Value
Entity Type	Individual
Organization	Andrew Mcalpin
Address	745 Buena Vista Dr
City	Lander
State	WY
ZIP	82520
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicare	$235.1K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: total Medicare revenue is $235.1K and there is no Medicaid billing on file, so all reported public‑payer activity in our dataset is Medicare only. Analysts should treat comparisons to Medicaid peers as inapplicable for this NPI and focus competitive benchmarking on Medicare activity.

Revenue is concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 48.4% of this provider's total Medicare revenue, driven by office visits and drug administration. Specifically, 99214 ($48.5K, 21.4%), J0897 ($33.5K, 14.8%), and 99215 ($27.8K, 12.2%) together explain roughly half of the billings, indicating a focused mix of higher‑level evaluation & management and denosumab injections.

The code mix signals a primary care/internal medicine practice that also delivers in‑office specialty procedures: dominant E/M codes 99214 and 99215 reflect moderate‑ to high‑complexity outpatient visits, while J0897 (injection, denosumab) suggests routine administration of biologic therapy (osteoporosis management). Support services such as annual wellness visits (G0439, $22.7K) and chronic care management (99490, $22.5K) further indicate longitudinal care for older patients.

Competitive standing on E/M: 99214 ranks #38910 of 479517 nationally (92th percentile; typical, unremarkable volume for this code) and 99215 ranks #9979 of 145531 (93th percentile; typical, unremarkable volume for this code). These placements indicate relatively strong national volume for mid‑ and high‑level established‑patient visits compared with peers, consistent with an experienced internal medicine panel.

Specialty/procedural footprint is more modest: J0897 ranks #6494 of 10057 nationally (35th percentile; typical, unremarkable volume for this code), so while denosumab is a material revenue contributor here, the provider is not a nationally prominent injector of this drug. Likewise, 93306 (echocardiography, $12K) sits at #18311 of 24624 (25th percentile; typical, unremarkable volume for this code), indicating limited echo volume relative to cardiology and imaging specialists.

The practice has integrated value‑added chronic care and remote services: 99490 (CCM) produced $22.5K and ranks #2657 of 16216 (84th percentile; typical, unremarkable volume for this code), and remote monitoring codes such as 99457 ($3.6K) and 99454 ($2.2K) appear on the top list. This pattern suggests active use of CCM and RPM programs to manage multimorbidity in the Medicare population, supporting ongoing care management revenue streams.

Onsite diagnostics and preventive care are present but not dominant: 36415 (blood draw, $3.4K), lab panels 80061 and 80053 (combined ~$3.4K), and immunizations (90677 $5.6K, 90662 $1.9K, 91320 $1.9K) indicate routine office‑based testing and vaccine administration. Most of these codes are reported at typical national volumes (for example 36415 ranks #11742 of 86467, 86th percentile; typical, unremarkable volume for this code), consistent with a primary care clinic offering basic diagnostic and preventive services.

The provider shows long tenure in the NPI file (NPI enumerated 2006-11-09, ~20 years ago) which, combined with Medicare revenue of $235.1K, describes an established, modest‑scale Medicare practice in Lander, WY. For payer strategy and network discussions, treat this NPI as a stable local primary care/internal medicine presence with focused revenue drivers rather than a large multispecialty or high‑volume procedural center.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	570	$90	$48.5K
J0897	Injection, denosumab, 1 mg	1,860	$20	$33.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	220	$130	$27.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	$130	$22.7K
99490	The 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…	500	$50	$22.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	90	$140	$12K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	120	$80	$9.4K
99213	The 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…	120	$50	$6.6K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$5.6K
77067	The 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…	40	$120	$4.8K

Showing 1–10 of 45

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Andrew Mcalpin — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	25	50	1,800	$20	$51.1K
93306	21	20	300	$100	$29.6K
77067	31	40	210	$80	$23.8K
99214	47	780	100	$80	$14.8K
91320	49	60	50	$120	$13.9K
G0439	38	170	70	$120	$13.1K
77063	31	40	200	$40	$10.9K
99454	4	10	120	$40	$10.6K
99457	6	10	100	$40	$10K
99213	374	850	110	$60	$9.9K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Clinton Mcmahill	WY	Internal Medicine Physician	$227.5K	$0
James Hutchison	WY	Physician Assistant	$196.1K	$0
Kacie Gallo	WY	Family Medicine Physician	$162K	$0
Broc White	WY	Family Medicine Physician	$131.1K	$0
Demar Hill	WY	Family Medicine Physician	$111.3K	$0
Julia Fairbank	WY	Physician Assistant	$100.3K	$0
Erica Strandberg	WY	Family Medicine Physician	$78.2K	$0
Tras Pfeifer	WY	Physician Assistant	$57.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K
Fremont County Pediatric Clinic	WY	Pediatrics Physician	$0	$629.4K

Andrew Mcalpin — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References