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

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

Brian Macdonald (NPI 1104832054)

Field	Value
Entity Type	Individual
Organization	Brian Macdonald
Address	81 Medical Center Dr
City	Brunswick
State	ME
ZIP	04011
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicare	$44K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$60	$18.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	220	$30	$7.1K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	70	$90	$5.8K
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…	70	$70	$5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	$100	$4.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	60	$30	$1.4K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	20	$90	$1.3K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$40	$660

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Brian Macdonald — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	28	50	240	$30	$12.2K
17110	38	70	70	$70	$6.6K
99213	102	2,350	50	$50	$4.3K
11042	20	30	50	$50	$4.2K
99203	72	620	30	$60	$2.4K
11730	9	10	20	$80	$1.9K
20600	13	10	20	$30	$950
73630	38	120	40	$10	$510

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Foot And Ankle Associates Of Maine, P.A.	ME	Foot & Ankle Surgery Podiatrist	$0	$406.5K
David Biesinger	NV	Foot & Ankle Surgery Podiatrist	$86.1K	$0
Michael Saraydarian	ME	Foot & Ankle Surgery Podiatrist	$63.6K	$0
Preston Ringo	ME	Foot & Ankle Surgery Podiatrist	$51.1K	$0
Jessica Buckner	ME	Foot Surgery Podiatrist	$47.5K	$0
Barry White	ME	Foot & Ankle Surgery Podiatrist	$39.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volunteers Of America Northern New England	ME	Mental Illness Community Based Residential Treatment Facility	$0	$58.2M
Independence Association, Inc	ME	Developmentally Disabled Services Day Training Agency	$0	$57.9M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Pathways Of Maine, LLC	ME	Community/Behavioral Health Agency	$0	$22.3M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Pathways Of Maine, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.7M
Lawrence Bossong	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$2.8M
Pathways Of Maine, Inc.	ME	Community/Behavioral Health Agency	$0	$2.7M
Guardian Pharmacy Of Maine, LLC	ME	Long Term Care Pharmacy	$162.2K	$2.4M

Brian Macdonald — 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