Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Malarkey
    Ask Trek AI about this page

    Andrew Malarkey — Billing Profile & Reimbursement Data

    NPI 1972858777 · Dayton, OH · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Andrew Malarkey — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Andrew Malarkey is a orthopaedic surgery physician provider located in Dayton, Ohio. This profile covers 19 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Malarkey
    Address4160 Little York Rd Ste 10
    CityDayton
    StateOH
    ZIP45414
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 17, 2012

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

    Payer SourceTotal Paid
    Medicare$79.4K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$60$16.4K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$1,090$13K
    99203The provider sees a new 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 provider…130$70$9.7K
    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…80$80$6.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…120$50$5.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.160$30$4K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.10$360$3.9K
    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…40$100$3.7K
    25600The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…10$250$3K
    73100In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.110$30$2.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2347212215020$770$20.8K
    29848465030$410$13.3K
    9921411,35720,010100$70$11.7K
    992132,31720,00070$50$6.6K
    7322122428030$70$5.4K
    206104541,64060$50$4.7K
    992043,3688,33030$100$4.4K
    2560091010$230$3.5K
    992032726,38030$60$2.9K
    992121,0164,10030$30$1.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dayton Osteopathic HospitalOHGeneral Acute Care Hospital$0$111.3M
    Holy Cross Hospital IncFLGeneral Acute Care Hospital$0$7.9M
    Scott PfahlerOHOphthalmology Physician$1.6M$16.4K
    Jonathan LevyFLOrthopaedic Surgery Physician$700.1K$0
    Martin RocheFLOrthopaedic Surgery Physician$690.6K$0
    Manjesh LingamurthyFLHematology & Oncology Physician$584.8K$0
    Leah EhrlichFLPhysician Assistant$375.2K$0
    William McrobertsFLPain Medicine (Physical Medicine & Rehabilitation) Physician$365.3K$0
    Timothy SchoonoverOHNeurology Physician$356.8K$0
    Daniel WeitzFLCardiovascular Disease Physician$347.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinic Security And Logistics, Inc.OHSubstance Use Disorder Rehabilitation Clinic/Center$0$62.2M
    Jonathan SilvermanOHPain Medicine (Physical Medicine & Rehabilitation) Physician$304.1K$0
    Thein AungOHClinical Cardiac Electrophysiology Physician$250K$0
    Kevin KravitzOHClinical Cardiac Electrophysiology Physician$240.6K$0
    Chad WeberOHOrthopaedic Trauma Physician$198.5K$0
    Sameh KhouzamOHClinical Cardiac Electrophysiology Physician$198.3K$0
    H. BambergerOHOrthopaedic Hand Surgery Physician$186.9K$0
    Vijai TivakaranOHCardiovascular Disease Physician$123.7K$0
    Gary FishbeinOHInterventional Cardiology Physician$105.6K$0
    Josephine RandazzoOHCardiovascular Disease Physician$102.4K$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. Ohio Distribution
    Andrew Malarkey — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio