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    OpenPayerNPI Medicare & MedicaidRory Mcdonough
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    Rory Mcdonough — Billing Profile & Reimbursement Data

    NPI 1265615330 · Fort Myers, FL · Medical Physician Assistant

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    Rory Mcdonough is a medical physician assistant provider located in Fort Myers, Florida. This profile covers 49 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
    OrganizationRory Mcdonough
    Address7331 Gladiolus Drive
    CityFort Myers
    StateFL
    ZIP33908
    TaxonomyMedical Physician Assistant
    NPI EnumeratedDecember 12, 2007

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

    Payer SourceTotal Paid
    Medicare$440.3K
    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.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.190$280$54.3K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…140$320$44.4K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)100$300$31.3K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.120$270$30.8K
    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…360$70$26.3K
    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…440$50$23.7K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.30$710$22.6K
    17110The 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…420$50$22.5K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.180$100$17.8K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…30$620$17.5K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    969105660240$90$49.6K
    992148,22332,760140$90$25K
    140414612020$710$24.7K
    14021455020$660$24.5K
    152604715020$740$22.9K
    131328343060$240$21.8K
    1404015216020$580$21.5K
    131214654040$260$18.7K
    111021,2711,930170$60$16.9K
    171101911,940110$70$13.6K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Veronica PapaveroFLAnatomic Pathology Physician$3.7M$0
    Sonal SuraFLTherapeutic Radiology Physician$3.5M$3.5K
    Timothy KerwinFLRadiation Oncology Physician$3.4M$0
    Scott WarrenFLMOHS-Micrographic Surgery Physician$2.9M$0
    Daniel DosoretzFLRadiation Oncology Physician$2.8M$0
    Jacqueline RussoFLAnatomic Pathology & Clinical Pathology Physician$2.7M$0
    Michael HanusFLRadiation Oncology Physician$2.4M$0
    Medina KushenFLNuclear Medicine Physician$2.3M$0
    David HeroldFLRadiation Oncology Physician$2.2M$0
    Alan BrownFLRadiation Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLInternal Medicine Physician$0$15.1M
    Hope Hospice And Community Services IncFLCommunity Based Hospice Care Agency$0$12.9M
    Lee Memorial Health SystemFLMedically Fragile Infants and Children Day Care$0$7.4M
    Syed ZafarFLMedical Oncology Physician$6M$0
    Raymond EsperFLMedical Oncology Physician$3M$0
    Francisco RodriguezFLMedical Oncology Physician$2.7M$0
    Keith MillerFLRadiation Oncology Physician$1.7M$0
    William HarwinFLMedical Oncology Physician$1.5M$0
    Graciela GartonFLRadiation Oncology Physician$1.2M$0
    Gladiolus Surgery Center , LLCFLAmbulatory Surgical Clinic/Center$1M$0

    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. Florida Distribution
    Rory Mcdonough — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida