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    OpenPayerNPI Medicare & MedicaidJudy Macdonald
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    Judy Macdonald — Billing Profile & Reimbursement Data

    NPI 1184933756 · Beaver Dam, WI · Nurse Practitioner

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    Judy Macdonald is a nurse practitioner provider located in Beaver Dam, Wisconsin. This profile covers 10 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
    OrganizationJudy Macdonald
    Address134 Corporate Dr
    CityBeaver Dam
    StateWI
    ZIP53916
    TaxonomyNurse Practitioner
    NPI EnumeratedSeptember 30, 2010

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

    Payer SourceTotal Paid
    Medicare$11.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$50$3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.6K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…20$70$1.5K
    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…20$70$1.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$80$1.4K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$20$740
    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,…20$30$730
    J1030Injection, methylprednisolone acetate, 40 mg80$10$410
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$20$320
    J2795Injection, ropivacaine hydrochloride, 1 mg360$0$0

    Medicare: Competitive Analysis & Benchmarks

    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

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,6559,80080$70$9.2K
    992331,9342,11060$90$8.7K
    992391,0331,36040$80$5K
    992134,3389,38060$50$4.7K
    2061041381040$40$3.1K
    992121,1312,00030$30$1.3K
    7350256963050$10$1K
    7356226251040$20$1000
    J10304217050$10$390
    J2795410200$1$20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beaver Dam Community Hospitals IncWIGeneral Acute Care Hospital$0$10.6M
    Prairie Ridge Health, Inc.WICritical Access Hospital$0$6.8M
    Tara GraffIAMedical Oncology Physician$1.4M$0
    Topeka Physician Group, LLCKSInternal Medicine Physician$0$963.7K
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Robert HegemanWIMedical Oncology Physician$393.7K$0
    Nathan HannemannCODiagnostic Radiology Physician$210K$2K
    Jay WilkinsWIOphthalmology Physician$190.7K$0
    Mark CamensMIDiagnostic Radiology Physician$176.6K$0
    Patrick LeonbergerWIInternal Medicine Physician$71.4K$97.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beaver Dam Unified School DistrictWILocal Education Agency (LEA)$0$1.4M
    City Of Beaver Dam Et AlWILand Ambulance$211.4K$227.8K
    Dale AltWIChiropractor$63.6K$263.4K
    Walgreen CoWIPharmacy$243.6K$48.4K
    Ayman YaishWIOtolaryngology/Facial Plastic Surgery Physician$264.8K$0
    Kim AlbridgeWIDermatology Physician$198.4K$0
    Bridget KilbrideWIPhysician Assistant$176.6K$0
    Jake QuinnWIMedical Physician Assistant$115.8K$0
    Jessamyn KovacsWIOptometrist$98.3K$8.8K
    Kirsten KrohnWIDermatology Physician$68.1K$5.4K

    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. Wisconsin Distribution
    Judy Macdonald — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin