Mcandrew, Philip

Mcandrew, Philip was paid $232K by Medicaid between Mar 2018 and Oct 2024, across 12 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 33% of everything it billed.

33Billing provider infoMCANDREW, PHILIP
PROVIDENCE, RI 02904

33aNPI1376614966assigned 11/13/2006

33bProvider typeGastroenterology Physician

28Total paid$232K

24GClaims1,224

24DCodes billed12

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Rhode Island

Rank by total paid#3 of 31

Median peer was paid$7K

This provider vs. median31×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	253	$25K
2019	17	$1K
2020	12	$2K
2021	247	$44K
2022	184	$39K
2023	366	$80K
2024incomplete	145	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45380	Colonoscopy, flexible; with biopsy, single or multiple	33%	300	292	$77K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	27%	441	411	$64K
Q5121	Injection, infliximab-axxq, biosimilar, (avsola), 10 mg	26%	43	29	$60K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	4.3%	117	111	$10K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.8%	105	104	$6K
88305	Level IV - Surgical pathology, gross and microscopic examination	2.2%	58	51	$5K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	2.0%	15	15	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	57	53	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	16	15	$2K
96415		<1%	42	38	$793.09
96375	Therapeutic injection; each additional sequential IV push	<1%	15	13	$212.04
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	15	13	$6.88

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.