NEVVI Medicare utilization intelligence

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MCDONALD, ANDREWMD NPI 1699750166 Clinician

Internal Medicine · GREENVILLE, SC

Specialty Internal Medicine — from billed Medicare claims
Trained MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE — medical school, self-reported to CMS
In practice about 32 years since medical school (class of 1994, self-reported to CMS)
Location GREENVILLE, SC · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 36 codes billed · 9,426 disclosed volume (CY2024 — most recent year in data)
Current groups
Hospital affiliations
  • PRISMA HEALTH BAPTIST EASLEY HOSPITAL · Hospital · CCN 420015
  • PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL · Hospital · CCN 420078
  • PRISMA HEALTH HILLCREST HOSPITAL · Hospital · CCN 420037
  • PRISMA HEALTH OCONEE MEMORIAL HOSPITAL · Hospital · CCN 420009
  • PRISMA HEALTH PATEWOOD HOSPITAL · Hospital · CCN 420102
  • Home health agency — CCN 427015
  • Home health agency — CCN 427029
  • Home health agency — CCN 427079
  • Long-term care hospital — CCN 422008
registry affiliations from the CMS Doctors & Clinicians facility file — an administrative affiliation, not a statement about where care is delivered

Group affiliation since 2019

20192026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2022-07
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed submitted charges across all codes were premium in CY2024. Included with Platform.

  • Charge, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Volume locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's premiumpremium premiumpremium
36415 Insertion of needle into vein for collection of blood sample premiumpremium premiumpremium
80048 Blood test, basic group of blood chemicals (calcium, total) premiumpremium premiumpremium
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count premiumpremium premiumpremium
80076 Liver function blood test panel premiumpremium premiumpremium
80061 Blood test, lipids (cholesterol and triglycerides) premiumpremium premiumpremium
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes premiumpremium premiumpremium
84443 Blood test, thyroid stimulating hormone (tsh) premiumpremium premiumpremium
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
83036 Hemoglobin a1c level premiumpremium premiumpremium
81001 Manual urinalysis test with examination using microscope, automated premiumpremium premiumpremium
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit premiumpremium premiumpremium
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
G0103 Prostate cancer screening; prostate specific antigen test (psa) premiumpremium premiumpremium
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes premiumpremium premiumpremium
82043 Urine microalbumin (protein) level premiumpremium premiumpremium
82570 Creatinine level to test for kidney function or muscle injury premiumpremium premiumpremium
84153 Psa (prostate specific antigen) measurement, total premiumpremium premiumpremium
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a premiumpremium premiumpremium
87400 Detection test by immunoassay technique for influenza virus premiumpremium premiumpremium
71046 X-ray of chest, 2 views premiumpremium premiumpremium
82728 Ferritin (blood protein) level premiumpremium premiumpremium

Showing the top 25 of 36 procedures this clinician billed. The full list is part of the premium platform. Notify me at launch →

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.