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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Ertel (NPI 1679720718)

Field	Value
Entity Type	Individual
Organization	Andrew Ertel
Address	30 Monument Rd Ste 1100
City	York
State	PA
ZIP	17403
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	August 20, 2008

Payer Source	Total Paid
Medicare	$31K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
75561	The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…	160	$90	$14.2K
75572	The provider uses computed tomography (CT) to examine the structure and function of heart. The procedure includes three–dimensional post processing, assessments of the functions of heart, and…	190	$60	$12.3K
99204	The 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…	10	$120	$1.4K
75565	In this add–on code, the provider performs a velocity flow mapping along with the cardiac magnetic resonance imaging (MRI) to examine any defect or abnormality in the structure and function of heart.	150	$10	$1.3K
75574	The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…	10	$90	$1.2K
75571	The provider uses computed tomography (CT) for quantitative measurement of calcium deposit in the coronary vessels of heart. She does not administer contrast during the procedure.	20	$20	$440
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	$10	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Andrew Ertel — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99204	9,345	10,290	30	$110	$5K
75561	2	70	30	$110	$4.7K
75574	98	120	30	$100	$4.3K
75572	3	80	30	$60	$3.5K
93010	1,913	2,330	140	$10	$2.4K
75571	49	100	20	$40	$1.9K
75565	2	30	30	$10	$450

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellspan Medical Group	PA	Psychiatry Physician	$0	$22.3M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
Wellspan Medical Group	PA	Pediatrics Physician	$0	$9.9M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Mohammed Razvi	MD	Vascular & Interventional Radiology Physician	$3.4M	$0
Hyun Bang	MD	Vascular & Interventional Radiology Physician	$1.5M	$840
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0
Ki Hassler	FL	Cardiovascular Disease Physician	$858.6K	$0
Amir Najafi	MD	Interventional Cardiology Physician	$773.4K	$0
Christopher Huffman	SC	Interventional Cardiology Physician	$630.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York Hospital	PA	General Acute Care Hospital	$0	$40.7M
Family First Health Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$6.4M
York Hospital	PA	Family Medicine Physician	$0	$6.2M
Haiyun Wang	PA	Hematology & Oncology Physician	$2M	$0
Joyce Huang	PA	Hematology & Oncology Physician	$1.7M	$0
Joseph Kannarkatt	PA	Hematology & Oncology Physician	$1.7M	$0
Chanh Huynh	PA	Hematology & Oncology Physician	$1.4M	$430
Dan Sotirescu	PA	Hematology & Oncology Physician	$1.4M	$0
Apple Hill Surgical Center Partners	PA	Ambulatory Surgical Clinic/Center	$996.2K	$283.1K
Daniel Efiom-ekaha	PA	Hematology & Oncology Physician	$1.2M	$0

Andrew Ertel — Billing Profile & Reimbursement Data

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Andrew Ertel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References