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    OpenPayerNPI Medicare & MedicaidDonald Mccarren
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    Donald Mccarren — Billing Profile & Reimbursement Data

    NPI 1255385662 · Bonita Springs, FL · Neurology Physician

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    Donald Mccarren is a neurology physician provider located in Bonita Springs, Florida. This profile covers 20 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
    OrganizationDonald Mccarren
    Address28420 Bonita Crossings Blvd Unit 110
    CityBonita Springs
    StateFL
    ZIP34135
    TaxonomyNeurology Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicare$508.3K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1306Injection, inclisiran, 1 mg19,370$10$174.3K
    J0174Lecanemab-irmb, for intravenous injection, 1 mg74,630$1$74.6K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…220$300$65.4K
    J0897Injection, denosumab, 1 mg2,280$20$41K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…370$100$37.2K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…130$210$25.8K
    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…190$100$19K
    J0172Injection, aducanumab-avwa, 2 mg2,320$10$11.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…70$170$11.2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.190$50$9.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J13066508,800$10$115.1K
    J08976671,0603,290$20$106.5K
    J017421061,060$1$68.2K
    96413186730200$100$26.1K
    9921413,69432,760140$90$25K
    9921317,54030,01080$60$12K
    96365312840120$50$11.7K
    9588633541080$80$11.3K
    J01721102,320$1$11K
    994831924030$190$10.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Samuel GilesFLNeurology Physician$539.6K$0
    Robert MannelFLVascular Neurology Physician$356.4K$0
    Wally PlanteFLNeurology Physician$293.3K$0
    Jonathan BaughUTEmergency Medicine Physician$117.5K$0
    Natalie PriceNMFamily Nurse Practitioner$73.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saurabh PatelFLRetina Specialist (Ophthalmology) Physician$5.3M$0
    Mark RubinFLMedical Oncology Physician$4.2M$0
    Sonal SuraFLTherapeutic Radiology Physician$3.5M$3.5K
    Rebecca KosloffFLMedical Oncology Physician$3.1M$0
    Ahsan ShahFLMedical Oncology Physician$2.6M$0
    Todd PezziFLRadiation Oncology Physician$1.3M$0
    Susanna GaikazianFLMedical Oncology Physician$1.2M$0
    Cynthia HensleyFLProcedural Dermatology Physician$899.2K$0
    Jason TrianaFLInternal Medicine Physician$639K$0
    Avidah RudbergFLUrology Physician$382.6K$78.3K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Donald Mccarren — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida