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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Margaret Donlon (NPI 1003053976)

Field	Value
Entity Type	Individual
Organization	Margaret Donlon
Address	80 Oak Hill Rd
City	Red Bank
State	NJ
ZIP	07701
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	January 14, 2009

Payer Source	Total Paid
Medicare	$203.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	2,850	$30	$93.9K
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…	960	$60	$59.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	450	$110	$49.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Margaret Donlon — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	223	1,430	230	$60	$29.5K
99305	23	750	60	$100	$10.6K
99307	3	480	90	$30	$6.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Costa	NJ	Adult Reconstructive Orthopaedic Surgery Physician	$660.9K	$0
Elad Tennen	NJ	Sports Medicine (Family Medicine) Physician	$390.4K	$0
Nader Bakhos	NJ	Orthopaedic Surgery Physician	$377.7K	$0
Peter Shupper	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$357.5K	$0
Michael Romello	NJ	Physical Medicine & Rehabilitation Physician	$324.9K	$0
Daniel Mulholland	NJ	Orthopaedic Surgery Physician	$243.3K	$0
Jeffrey Van Gelderen	NJ	Orthopaedic Surgery Physician	$195.3K	$0
Larry Bloomstein	NJ	Orthopaedic Surgery Physician	$121.7K	$0
Keith Rinkus	NJ	Orthopaedic Surgery Physician	$92.9K	$0
Bobbi Pellegrino	NY	Physician Assistant	$65.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cpc Integrated Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$80.7M
Hackensack Meridian Health Medical Group - Specialty Care PC	NJ	Surgical Critical Care Physician	$0	$50.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Caring With Compassion	NJ	Developmentally Disabled Services Day Training Agency	$0	$23.7M
Hackensack Meridian Health Medical Group - Primary Care PC	NJ	Family Medicine Physician	$0	$21.9M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Hackensack Meridian Health Medical Group - Complex Care PC	NJ	Internal Medicine Physician	$0	$11.6M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Meridian Medical Group - Specialty Care, PC	NJ	Specialist	$0	$8.2M
Middletown Medical, LLC	NJ	Methadone Clinic	$454.8K	$7.8M

Margaret Donlon — Billing Profile & Reimbursement Data

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Margaret Donlon — 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