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

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

Robert Mcdonald (NPI 1124067269)

Field	Value
Entity Type	Individual
Organization	Robert Mcdonald
Address	1281 E Cottonwood Ln
City	Casa Grande
State	AZ
ZIP	85122
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$7.5M
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare with Total Medicare revenue of $7.5M and no Medicaid billing on file; the practice is effectively single‑payer from a claims perspective, concentrating its commercial exposure and payment relationships with Medicare. The provider’s NPI was enumerated on 2006-06-05 (~20 years ago), indicating long tenure in Medicare billing that may reflect an established local operation.

Revenue is extremely concentrated: the precomputed top 3 Medicare codes account for 87.9% of total Medicare revenue. A9607 is the dominant driver with $5.3M revenue (71.9% of total Medicare revenue), followed by 78815 with $658.9K revenue (8.9%) and A9606 with $528.8K revenue (7.1%), so most dollars flow from a very small set of radiopharmaceutical and PET/CT services.

The code mix indicates a service line focused on radiopharmaceutical therapy and advanced PET imaging rather than general outpatient radiology. High-dollar therapeutic agents such as A9607 (lutetium therapy) and A9606 (radium-223) sit alongside diagnostic PET/CT codes (78815, 78816) and radiotracers (A9552, A9592, A9595), consistent with an operation that delivers both therapeutic radiopharmaceuticals and accompanying nuclear medicine/diagnostic imaging.

Competitive standing is uneven across codes: the provider ranks #2 of 44 for A9607 (98th percentile; notably above typical national volume), indicating a near-top national position for that specific lutetium therapeutic. The provider also ranks highly for PET imaging—78815 ranks #207 of 6566 (97th percentile; notably above typical national volume)—while A9606 ranks #5 of 6 (20th percentile; typical, unremarkable volume), showing strong dominance in one therapeutic agent but modest participation in another.

Several individual codes appear as statistical outliers in national comparisons, pointing to unusually high utilization of selected agents and administration services. A9552 ranks #34 of 2411 (99th percentile; extreme outlier) and 71260 ranks #148 of 20343 (99th percentile; extreme outlier), while 79101 ranks #2 of 302 (100th percentile; extreme outlier), indicating volumes for specific tracers and administration procedures that are far above typical national experience.

Billing patterns include an anomalously large count for supply contrast Q9967 (57.9K claims) reported with $0 revenue and a rank of #123 of 11759 (99th percentile; extreme outlier); this suggests frequent use or reporting of contrast supply units with no associated allowed amount on file, which may reflect contractual bundling or billing practice rather than reimbursed line‑item revenue.

From a payer-management perspective, the extreme concentration into A9607 (71.9% of Medicare revenue) makes utilization and reimbursement for that single high-cost therapeutic a focal point for oversight and contracting. Given that the top three codes together generate 87.9% of Medicare revenue, small changes in utilization, coverage, or pricing for those codes would materially affect the provider’s Medicare revenue profile.

The absence of any Medicaid billing on file combined with the provider’s long Medicare tenure (NPI enumerated 2006-06-05 (~20 years ago)) suggests this clinician’s referral and reimbursement ecosystem is centered on Medicare beneficiaries and specialized oncology/nuclear medicine services rather than mixed public payer clinics or community-based Medicaid programs.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9607	Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie	28,600	$190	$5.3M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	530	$1,250	$658.9K
A9606	Radium ra-223 dichloride, therapeutic, per microcurie	4,300	$120	$528.8K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	620	$400	$247.6K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	140	$1,250	$174K
A9592	Copper cu-64, dotatate, diagnostic, 1 millicurie	100	$1,480	$140.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	450	$250	$113.3K
A9595	Piflufolastat f-18, diagnostic, 1 millicurie	220	$460	$103.9K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	600	$100	$57.3K
79101	In this procedure, the provider injects a radiopharmaceutical substance into the venous blood stream to treat the patient’s condition.	200	$110	$22.6K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Robert Mcdonald — 6 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9607	1	10	5,680	$190	$1.4M
A9595	28	30	250	$480	$183.3K
78815	24	160	60	$710	$75.8K
A9552	9	120	50	$260	$20.8K
78816	12	60	20	$550	$19.3K
74177	53	420	110	$100	$15.8K
36415	5,972	1,440	90	$10	$8.2K
71250	377	380	70	$60	$7.8K
74176	695	370	80	$80	$7.4K
71260	14	360	60	$60	$5.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Cancer Specialists & Research Institute, LLC	FL	Medical Oncology Physician	$0	$63.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wilfredo Blasini	FL	Clinical Pathology Physician	$16.9M	$307.9K
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
American Oncology Partners PA	OH	Hematology & Oncology Physician	$0	$11.8M
David Smith	MD	Hematology & Oncology Physician	$6.4M	$0
Christopher Lobo	FL	Medical Oncology Physician	$6.1M	$0
Syed Zafar	FL	Medical Oncology Physician	$6M	$0
Ronald Goodwich	FL	Nuclear Medicine Physician	$5.7M	$0
Steven Newman	FL	Medical Oncology Physician	$5.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$76.7M
Southwest Ambulance Of Casa Grande, Inc.	AZ	Land Ambulance	$2M	$59M
Banner Health	AZ	General Acute Care Hospital	$0	$55M
Helping Associates Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.8M
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$12.9M
Banner Urgent Care Arizona LLC	AZ	Urgent Care Clinic/Center	$0	$10.6M
Bhsm Rehabilitation LLC	AZ	Physical Therapy Clinic/Center	$0	$10.3M
Corazon Inc.	AZ	Mental Health Counselor	$0	$9.8M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.8M
Fc Ranger Ops Garnet Of Casa Grande (az), LLC	AZ	Assisted Living Facility	$0	$6.8M

Robert Mcdonald — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References