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    OpenPayerNPI Medicare & MedicaidThomas Mcdonald
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    Thomas Mcdonald — Billing Profile & Reimbursement Data

    NPI 1073504320 · Sonora, CA · Orthopaedic Hand Surgery Physician

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    Thomas Mcdonald is a orthopaedic hand surgery physician provider located in Sonora, California. This profile covers 18 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
    OrganizationThomas Mcdonald
    Address680 Guzzi Lane
    CitySonora
    StateCA
    ZIP95370
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedNovember 3, 2005

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

    Payer SourceTotal Paid
    Medicare$95.6K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…110$310$32.4K
    99203The provider sees a new 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 provider…280$60$16.1K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$670$10.1K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…50$200$10K
    99213The 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$50$4.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…150$30$4.1K
    25310The provider transfers a tendon from one location in the forearm or wrist to another to replace a damaged or diseased tendon and restore motion of the hand.10$260$3.6K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.10$230$2.8K
    99204The provider sees a new 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 provider…20$90$2K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.70$30$1.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64721924020$510$17.7K
    25447366020$730$13.8K
    260554622030$360$13.8K
    9921315,32934,66080$70$13.2K
    25310122020$410$8.2K
    9920413,36319,36040$120$7.2K
    26160263020$380$6.8K
    992225,7317,35030$110$5K
    9920325612,74030$80$4.6K
    992129197,97030$40$3.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sonora Community HospitalCARural Health Clinic/Center$0$41.3M
    Sonora Community HospitalCAGeneral Acute Care Hospital$0$22.8M
    Ritesh PatelILInternal Medicine Physician$255.6K$2.2M
    Roozbeh MohajerCAHematology & Oncology Physician$1.7M$0
    Travers McloughlinCARadiation Oncology Physician$1.6M$0
    Zachary CooperCADermatology Physician$1.1M$0
    Manjit DhillonCAInfectious Disease Physician$887.1K$0
    Jagraj NijjarCAInfectious Disease Physician$847.7K$0
    Phong DargonCAVascular Surgery Physician$685.6K$0
    Pericles IoannidesCARadiation Oncology Physician$532.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tuolumne Me-wuk Indian Health Center, Inc.CAFamily Medicine Physician$0$46.9M
    County Of TuolumneCACommunity/Behavioral Health Agency$0$23.9M
    County Of TuolumneCALand Ambulance$2.2M$3M
    Gerard ArdronCAOphthalmology Physician$1.3M$0
    Yousef KhelfaCAHematology & Oncology Physician$423.2K$0
    Timothy HooperCAGeneral Practice Physician$366.7K$970
    Ariana DemersCASports Medicine (Orthopaedic Surgery) Physician$295.6K$0
    Carla DoyleCAHand Occupational Therapist$154.7K$124.7K
    Gideon NaudeCASurgery Physician$247.3K$5.4K
    Douglas AnkromCAUrology Physician$241.7K$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. California Distribution
    Thomas Mcdonald — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California