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

Why is the Medicaid comparison limited to California 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. California (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.

Philip Andres (NPI 1932425303)

Field	Value
Entity Type	Individual
Organization	Philip Andres
Address	1900 Sullivan Ave
City	Daly City
State	CA
ZIP	94015
Taxonomy	Nurse Practitioner
NPI Enumerated	April 10, 2010

Payer Source	Total Paid
Medicare	$211K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,320	$80	$185.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	120	$100	$11.4K
G0182	Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or…	110	$80	$8.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$120	$2.6K
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…	30	$60	$1.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Philip Andres — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	91	1,790	210	$80	$48.1K
99308	1,532	1,640	190	$60	$35.5K
99310	720	840	90	$120	$31.2K
G0182	8	30	60	$80	$28K
99497	1,632	2,560	50	$70	$8K
99316	58	380	40	$110	$6.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mikael Langner	CA	General Practice Physician	$550.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$47.5M
San Mateo County	CA	Community/Behavioral Health Agency	$0	$46.8M
County Of San Mateo	CA	Federally Qualified Health Center (FQHC)	$0	$23.4M
David Portier	CA	Hospitalist Physician	$1.8M	$0
Aman Khan	CA	Sports Medicine (Orthopaedic Surgery) Physician	$639.9K	$0
Campus Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$638.1K	$0
Felix Millhouse	CA	Interventional Cardiology Physician	$420.9K	$0
Thomas Hazlehurst	CA	Pulmonary Disease Physician	$148.8K	$7.9K
Yi Chiang	CA	Anesthesiology Physician	$56K	$0
Jennifer Reodica	CA	Anesthesiology Physician	$55K	$0

Philip Andres — Billing Profile & Reimbursement Data

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Philip Andres — 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