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

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

Donal O'donoghue (NPI 1225341605)

Donal O'donoghue is a anesthesiology physician provider located in Beachwood, Ohio. This profile covers 11 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Donal O'donoghue
Address	26600 George Zeiger Dr
City	Beachwood
State	OH
ZIP	44122
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 14, 2010

Payer Source	Total Paid
Medicare	$15.5K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	90	$50	$4.3K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$150	$3.4K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	40	$30	$1.2K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$60	$1.2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$60	$1.2K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	10	$80	$970
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	20	$60	$960
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	10	$70	$950
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	10	$70	$770
00410	The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…	10	$40	$480

Showing 1–10 of 11

Donal O'donoghue — Billing Profile & Reimbursement Data

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Donal O'donoghue — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	175	840	40	$70	$5.3K
00790	27	260	10	$170	$2.6K
93312	328	370	20	$80	$2.2K
00731	740	1,700	20	$80	$2.1K
00813	239	550	20	$90	$2.1K
00144	7	10	20	$90	$1.6K
00910	127	270	20	$60	$1.3K
00400	35	80	10	$80	$1.1K
00410	117	140	20	$50	$960
36620	53	590	20	$30	$700