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

    NPI 1467986109 · Cape May Court House, NJ · Interventional Pain Medicine Physician

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    Andrew Mcelroy is a interventional pain medicine physician provider located in Cape May Court House, New Jersey. This profile covers 20 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 Mcelroy
    Address307 Stone Harbor Blvd.,
    CityCape May Court House
    StateNJ
    ZIP08210
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedApril 19, 2017

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

    Payer SourceTotal Paid
    Medicare$122.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…350$80$28.2K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…120$110$12.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$160$12K
    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…100$110$11.2K
    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…180$50$9.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).80$100$8.3K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…110$60$6.7K
    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,…210$30$6K
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…20$270$6K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…50$80$4.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6455531020$2,110$50.7K
    9921413,32313,640130$90$23.6K
    6448312333060$230$20.3K
    646351818030$440$18.2K
    992134,61914,090100$70$13.1K
    644932927050$210$12.6K
    62323225040$180$10.8K
    2061118834070$90$10K
    64450758030$50$9.8K
    992048437,16040$130$6.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul KostoulakosNJNeurology Physician$362.1K$0
    Vasko GulevskiNJNeurology Physician$285K$0
    Gary MironeNJUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$229.7K$0
    Amy BurhannaNJCardiovascular Disease Physician$227K$0
    Monique ScallyNJCardiovascular Disease Physician$219.4K$0
    Douglas PitchfordNJPain Medicine (Anesthesiology) Physician$209.2K$0
    Michael NillasNJCardiovascular Disease Physician$198.4K$0
    Anant ParikhPAPain Medicine Physician$177.6K$10.8K
    Samana ShaikhNJHospitalist Physician$172.4K$0
    Michael PiskunNJUrology Physician$158.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of Cape May CountyNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$53.8M
    Cooper University Hospital Cape Regional IncNJGeneral Acute Care Hospital$0$39.6M
    Rainbow Pediatrics PCNJPediatrics Physician$0$9.3M
    Ars Of Rio Grande, LLCNJMethadone Clinic$139.7K$8.4M
    Atlanticare Surgery Center Cape May - L.L.C.NJAmbulatory Surgical Clinic/Center$779K$0
    Ankur ShahNJDiagnostic Radiology Physician$502.1K$0
    Subhash MehtaNJInternal Medicine Physician$449.5K$350
    Danielle PonzioNJOrthopaedic Surgery Physician$418.5K$0
    Cape Cataract Center, PCNJAmbulatory Surgical Clinic/Center$412.2K$0
    Domenic PastoreNJSpecialist$412.1K$0

    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. New Jersey Distribution
    Andrew Mcelroy — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey