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

    NPI 1588935217 · Dallas, TX · Ophthalmology Physician

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    Andrew Mcclellan is a ophthalmology physician provider located in Dallas, Texas. This profile covers 28 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 Mcclellan
    Address9600 N Central Expy Ste 100
    CityDallas
    StateTX
    ZIP75231
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 26, 2012

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

    Payer SourceTotal Paid
    Medicare$4.5M
    Medicaid$0

    Key Findings

    This provider is an ophthalmology-focused practice that is heavily weighted toward intravitreal injectable therapies and retinal diagnostics: the top Medicare codes are J0178 (aflibercept injections), J2777 (faricimab injections), and J3490 (unclassified drugs), with substantial supporting volume in retinal imaging (92134) and isolated intravitreal injection procedure 67028. The mix of high-volume drug codes and retinal imaging suggests an operation centered on medical retina care (repeat injections and follow-up imaging) rather than primarily office-based general ophthalmology or high-volume surgical workflows.

    Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 82.2% of this provider's total Medicare revenue. Those top three line items break down as J0178 $2M revenue (44.7% of this provider's total Medicare revenue), J2777 $1.3M revenue (29.7% of this provider's total Medicare revenue), and J3490 $351.5K revenue (7.8% of this provider's total Medicare revenue), indicating most dollars are driven by a small number of high-cost injectable products.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $4.5M while Medicaid activity is absent (no Medicaid billing on file). This profile implies the provider’s commercial and Medicaid exposure is minimal or not captured in the dataset, so analyses of patient access or reimbursement sensitivity should be framed around Medicare-driven demand and pricing.

    Competitive standing for the flagship product J0178 is well above peers: J0178 ranks #194 of 3204 providers nationally (94th percentile) and is described in the dataset as "notably above typical national volume for this code," indicating this clinician is a high-volume national participant for aflibercept administration. Similarly, 92134 (retinal diagnostic imaging) is reported as an "extreme outlier, far above typical national volume for this code," ranking #284 of 26868 providers nationally (99th percentile), which underscores unusually high imaging throughput relative to nearly all peers.

    Other leading injection code J2777 is reported in the dataset as "typical, unremarkable volume for this code" despite a high percentile rank (J2777 ranks #127 of 2039 providers nationally, 94th percentile) and represents $1.3M (29.7% of this provider's total Medicare revenue). This suggests the provider’s faricimab billing is substantively material to revenue but is not flagged by the dataset as an anomalous practice pattern compared with the national distribution for that specific code.

    Office evaluation and management services contribute only a small share of revenue relative to injectables and imaging: 92014 generated $83.1K (1.8% of this provider's total Medicare revenue) with 903 claims, and 99214 produced $41.9K (0.9% of this provider's total Medicare revenue) with 499 claims. Those figures point to a service model where procedure- and drug-based visits (injections and imaging) dominate revenue rather than high volumes of E/M visits.

    Surgical and procedural retinal work appears limited in scale: example surgical codes such as 67042 ($17.7K, 0.4% of Medicare revenue for 21 claims) and 67036 ($9.6K, 0.2% of Medicare revenue for 14 claims) are present but represent a small fraction of total Medicare dollars. This pattern reinforces the characterization of a practice focused on recurring, office-based intravitreal therapy and diagnostics rather than inpatient or high-revenue surgical retina practice.

    Provider tenure is established: NPI enumerated on 2012-01-26 (~14 years ago), indicating a long-standing Medicare participation history that supports interpretation of these high-volume patterns as sustained rather than newly emergent. Analysts should consider stability and historical presence when comparing peer movement or assessing capacity for growth in the drug-and-imaging service lines.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,930$690$2M
    J2777Injection, faricimab‑svoa, 0.1 mg45,960$30$1.3M
    J3490Unclassified drugs180$2,000$351.5K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.2,140$100$205.8K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg900$120$108.2K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.3,310$30$102.5K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…900$90$83.1K
    J2778Injection, ranibizumab, 0.1 mg250$180$45.7K
    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…500$80$41.9K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg240$160$37.6K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017812210610$690$694.9K
    J2777111407,470$30$479.2K
    J27787580630$180$345.3K
    Q51285350770$220$263.7K
    J27811950720$120$131.9K
    6702826290510$90$73K
    J34903635060$480$54.4K
    67042489020$1,150$41.3K
    J73121640200$150$40.8K
    67113223020$1,230$29.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashkan AbbeyTXOphthalmology Physician$6.4M$0
    Lori CoorsTXOphthalmology Physician$5.2M$0
    Ivan Castillo-salazarTXOphthalmology Physician$4.7M$0
    Wayne SolleyTXOphthalmology Physician$4M$0
    Christopher FullerTXOphthalmology Physician$3.6M$0
    Timothy FullerTXOphthalmology Physician$3.5M$0
    Robert WangTXOphthalmology Physician$3.5M$0
    Patrick WilliamsTXOphthalmology Physician$2.8M$0
    Nikisha KothariTXOphthalmology Physician$2.4M$0
    Diana LauraTXOphthalmology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dallas Independent School DistrictTXLocal Education Agency (LEA)$0$22.6M
    North Star Home Health Care IncTXPersonal Care Attendant$0$10.8M
    Ophthalmology Surgery Center Of Dallas, LLCTXAmbulatory Surgical Clinic/Center$8.3M$134.6K
    Deborah ChongTXOphthalmology Physician$2.3M$0
    Morgan ClickTXFamily Nurse Practitioner$2.1M$0
    Russell LamTXVascular Surgery Physician$2M$0
    Center For Molecular Imaging Limited PartnershipTXRadiology Clinic/Center$2M$0
    Gary FishTXOphthalmology Physician$2M$0
    Haskell KirkpatrickTXMedical Oncology Physician$1.8M$0
    Christopher WrightTXRheumatology Physician$1.4M$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. Texas Distribution
    Andrew Mcclellan — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas