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NPI 1093742777 · Providence, RI · Physician Assistant
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Lisa Donahue is a physician assistant provider located in Providence, Rhode Island. This profile covers 10 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Lisa Donahue |
| Address | 100 Butler Dr |
| City | Providence |
| State | RI |
| ZIP | 02906 |
| Taxonomy | Physician Assistant |
| NPI Enumerated | June 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $631.8K |
| Medicare | $20.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 120 | $70 | $8.7K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 70 | $60 | $4.4K |
| 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… | 50 | $50 | $2.5K |
| 99204 | The 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 | $100 | $1.4K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 30 | $40 | $980 |
| 99203 | The 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… | 20 | $50 | $850 |
| 20550 | Aponeurosis 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. | 20 | $30 | $450 |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 20 | $20 | $440 |
| 73565 | In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in… | 20 | $20 | $420 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 60 | $10 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 1,350 | $200 | $270.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 910 | $170 | $155.3K |
| 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… | 1,270 | $90 | $117K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 150 | $200 | $30.1K |
| 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… | 410 | $60 | $24.4K |
| 99203 | The 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… | 180 | $100 | $17.5K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 60 | $110 | $7.2K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 80 | $50 | $4.5K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 30 | $80 | $2.7K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 20 | $80 | $1.7K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 45 | 240 | 150 | $80 | $91.9K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 114 | 360 | 520 | $30 | $89.2K |
| 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… | 275 | 1,730 | 220 | $70 | $75.2K |
| 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… | 893 | 2,050 | 300 | $50 | $72.3K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 46 | 60 | 90 | $50 | $59.2K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 202 | 260 | 320 | $40 | $56K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 249 | 250 | 300 | $20 | $42.8K |
| 99203 | The 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… | 122 | 350 | 80 | $90 | $40.5K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 7 | 10 | 160 | $110 | $30.3K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 9 | 10 | 90 | $90 | $30K |
Showing 1–10 of 14
Other providers in the same ZIP code as Lisa Donahue, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Miriam Hospital | RI | General Acute Care Hospital | $0 | $138.6M |
| Family Service Of Rhode Island Inc. | RI | Taxi | $0 | $12M |
| Butler Hospital | RI | Psychiatric Hospital | $0 | $9.6M |
| Phoenix Houses Of New England, Inc. | RI | Substance Abuse Rehabilitation Facility | $0 | $7.3M |
| Thomas Mulvey | RI | Pediatric Dentistry | $0 | $6.3M |
| Silver Fern Practice, LLC | RI | Physical Therapist | $0 | $5M |
| Providence Interventional Associates Ii LLC | RI | Ambulatory Surgical Clinic/Center | $1.9M | $8.3K |
| Gaurav Gupta | RI | Ophthalmology Physician | $1.8M | $5.8K |
| Robert Eden | RI | Pediatrics Physician | $0 | $1.7M |
| Brian Ackerman | RI | Psychiatry Physician | $24.8K | $1.5M |
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