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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerrence Donohue
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    Terrence Donohue — Billing Profile & Reimbursement Data

    NPI 1003871799 · Louisville, KY · Internal Medicine Physician

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    Terrence Donohue is a internal medicine physician provider located in Louisville, Kentucky. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTerrence Donohue
    Address3101 Poplar Level Rd Ste 101
    CityLouisville
    StateKY
    ZIP40213
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$181.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,160$80$90.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit310$120$37.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…50$270$12.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…120$70$8.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,050$10$8.4K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…30$150$4.4K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$210$3.9K
    G0008Administration of influenza virus vaccine130$30$3.6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$2.8K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…10$140$1.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214587,230110$70$14.1K
    G0439411,57060$110$9.3K
    9132054058030$130$8.4K
    906775984020$280$6.7K
    8763618720030$140$5.7K
    906621811,27040$70$4.5K
    994968920020$170$3.9K
    994956238020$130$2.9K
    G04389025020$130$2.9K
    9048079985050$30$2.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Norton Hospitals IncKYMulti-Specialty Clinic/Center$0$3.4M
    Patricia HansenKYInternal Medicine Physician$2.6M$0
    Roneka RavenellINRheumatology Physician$1.3M$0
    Jennifer TeeterINSports Medicine (Family Medicine) Physician$1.2M$0
    Topeka Physician Group, LLCKSInternal Medicine Physician$0$963.7K
    Robin CurryKYSports Medicine (Family Medicine) Physician$628.2K$0
    John FlemingCAOrthopaedic Surgery of the Spine Physician$618.3K$0
    Christopher GravesILOrthopaedic Surgery of the Spine Physician$533.3K$83K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Buena Vida Adhc, LLCKYAdult Day Care Clinic/Center$0$78.3M
    Expanded Horizons Of Kentucky IncKYProfessional Counselor$0$27M
    Day Spring Inc.KYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$24.7M
    Louisville Optometric Centers Iii, PscKYOptometrist$0$4.6M
    Pearl Medical Practice PLLCKYPrimary Care Clinic/Center$0$4.3M
    Shanker ChandiramaniKYCardiovascular Disease Physician$327.3K$0
    Sheena SteeleKYNurse Practitioner$210.3K$0
    Gregory AbbasKYOtolaryngology Physician$143.6K$0
    Carmel PersonKYInternal Medicine Physician$141.9K$0
    Vicky RaisorKYNurse Practitioner$123.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Terrence Donohue — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky