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

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

Daniela Donoso Pena (NPI 1265744916)

Field	Value
Entity Type	Individual
Organization	Daniela Donoso Pena
Address	1400 Senate Ave Ste 108
City	Red Oak
State	IA
ZIP	51566
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 10, 2010

Payer Source	Total Paid
Medicare	$1.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	30	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Daniela Donoso Pena — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0180	5	80	20	$40	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marana Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$33.6M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$24.7M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.4M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$7.2M
Montgomery County Memorial Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Sakeer Hussain	IA	Hematology & Oncology Physician	$1.9M	$0
Montgomery County Memorial Hospital	IA	Critical Access Hospital	$0	$1.7M
Montgomery County Memorial Hospital	IA	Rural Health Clinic/Center	$0	$1M
Codac Health Recovery And Wellness	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$223.4K	$24.8K

Nearby Providers

Other providers in the same ZIP code as Daniela Donoso Pena, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Red Oak	IA	Land Ambulance	$202.2K	$102.1K
Warren Hayes	IA	Family Medicine Physician	$55.4K	$0
Sharon Johnson	IA	Obstetrics & Gynecology Nurse Practitioner	$22.4K	$0

Daniela Donoso Pena — Billing Profile & Reimbursement Data

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Daniela Donoso Pena — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References