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

Why is the Medicaid comparison limited to California 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. California (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.

Heather Mcdonald (NPI 1003142886)

Field	Value
Entity Type	Individual
Organization	Heather Mcdonald
Address	1125 Via Verde
City	San Dimas
State	CA
ZIP	91773
Taxonomy	Family Medicine Physician
NPI Enumerated	October 28, 2009

Payer Source	Total Paid
Medicare	$50K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	300	$110	$31.1K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	250	$50	$11.9K
99213	The 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…	100	$70	$7K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$70

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Heather Mcdonald — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,563	37,970	120	$90	$23.2K
99213	15,546	34,660	80	$70	$13.2K
98927	6	60	70	$50	$6K
81002	1,537	2,580	30	$1	$240

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keven Tagdiri	CA	Internal Medicine Physician	$1M	$51.3K
Sabah Kadhium	CA	Family Medicine Physician	$697.1K	$210.7K
Bipinchandra Bhagat	CA	Infectious Disease Physician	$232.7K	$506K
Jun Chiong	CA	Internal Medicine Physician	$675.4K	$0
Philip Lee	CA	General Practice Physician	$486.8K	$0
Samir Anabi	CA	Internal Medicine Physician	$479.8K	$380
Fereshteh Jahanpanah	CA	Internal Medicine Physician	$475.2K	$0
Iyabo Daramola	CA	Internal Medicine Physician	$441.7K	$2.9K
Fahed Bitar	CA	Interventional Cardiology Physician	$420.2K	$0
Homayoun Siman	CA	General Practice Physician	$381.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curative Labs Inc.	CA	Clinical Medical Laboratory	$0	$87.4M
Biological Laboratory, Inc.	CA	Clinical Medical Laboratory	$19.4M	$24.9M
San Dimas Retirement Center LLC	CA	Assisted Living Facility	$0	$29.6M
Joshua Koh	CA	Psychiatry Physician	$537.1K	$53.2K
David Swearingen	CA	Optometrist	$381.9K	$1.9K
Thomas Delaney	CA	Clinical Psychologist	$274.4K	$93.4K
Mohsen Ali	CA	Neurology Physician	$336.5K	$0
Mojtaba Moghadam	CA	Nephrology Physician	$325.9K	$1.7K
Ashley Nakamura	CA	Optometrist	$124.8K	$0
Phuoc Nguyen	CA	Anesthesiology Physician	$78.5K	$1.1K

Heather Mcdonald — Billing Profile & Reimbursement Data

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Heather Mcdonald — 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