Physician

Mark R Mcandrew, M.D.

According to 2025 Medicare claims, Mark Mcandrew, M.D. (NPI: 1740281674) practices general surgery in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Dearborn, IN. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP, INC (NPI: 1750343216; TIN: 611300608) and primary practice location at 47025-2751. Mcandrew is affiliated with the Healthcare Solutions Network (ACO ID: A3283) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Mcandrew's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 263 traditional Medicare patients, billed 733 HCPCS/CPT codes, and received $65,417 in Medicare payments. The top billing code was 45380 (Biopsy of large bowel using a flexible endoscope). Part D data shows 217 prescription claims across 112 beneficiaries totaling $4,204 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). 2021 DME data shows 15 claims. Open Payments data shows 19 records totaling $849. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $146,831 to $65,417. In contrast, Part D prescription costs have moved sharply higher in recent years, from $4,662 to $4,204. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $7,572 and ending at $5,529.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$74K$148K2015 Medicare payment: $146,831 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $147,916 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $131,868 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $131,387 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $110,313 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $86,552 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $113,492 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $124,020 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $78,853 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $65,417 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155041,744$146,831
20165241,826$147,916
20175001,575$131,868
20185231,608$131,387
20194911,279$110,313
2020355932$86,552
20214301,262$113,492
20224671,463$124,020
2023381911$78,853
2024263733$65,417

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$12K$24K2015 Drug cost: $4,662 (USD; Tot_Drug_Cst)2016 Drug cost: $3,963 (USD; Tot_Drug_Cst)2017 Drug cost: $4,436 (USD; Tot_Drug_Cst)2018 Drug cost: $6,379 (USD; Tot_Drug_Cst)2019 Drug cost: $8,571 (USD; Tot_Drug_Cst)2020 Drug cost: $8,718 (USD; Tot_Drug_Cst)2021 Drug cost: $18,949 (USD; Tot_Drug_Cst)2022 Drug cost: $24,073 (USD; Tot_Drug_Cst)2023 Drug cost: $15,585 (USD; Tot_Drug_Cst)2024 Drug cost: $4,204 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015118269$4,662
2016115258$3,963
2017126275$4,436
2018158303$6,379
2019131248$8,571
2020134249$8,718
2021201316$18,949
2022224371$24,073
2023180300$15,585
2024112217$4,204

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.2K$4.4K2018 Medicare payment: $1,201 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,437 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,003 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,356 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R11$1,201
2019N/R45$4,437
2020N/R27$3,003
2021N/R15$4,356
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45380Biopsy of large bowel using a flexible endoscope3940$110
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4449$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6978$83
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes46143$58
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more101139$49

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates1821$1,154
Pantoprazole SodiumPantoprazole Sodium704,345$419
SucralfateSucralfate291,080$389
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl1111$115
IbuprofenIbuprofen23234$58

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.19$849W. L. Gore & Associates, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark R. Mcandrew, M.D.?

Tedicare shows public-source Medicare data for Mark R. Mcandrew, M.D. (NPI 1740281674), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Mark R. Mcandrew, M.D. have ACO affiliation data?

Mark R. Mcandrew, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Mark R. Mcandrew, M.D.?

Mark R. Mcandrew, M.D. is linked to SUMMIT MEDICAL GROUP, INC (billing NPI 1750343216) in the available physician profile data.

Does Mark R. Mcandrew, M.D. have Open Payments data?

Mark R. Mcandrew, M.D. has 19 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.