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.

Kevin Macdonald (NPI 1275051765)

Field	Value
Entity Type	Individual
Organization	Kevin Macdonald
Address	1805 27th St
City	Portsmouth
State	OH
ZIP	45662
Taxonomy	Physician Assistant
NPI Enumerated	September 5, 2017

Payer Source	Total Paid
Medicare	$44.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	270	$80	$21.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	120	$120	$13.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$50	$4.4K
36573	Under imaging guidance, the provider places a catheter through the basilic or cephalic vein in the arm and directs it into one of the major veins carrying blood to the heart or directly into the…	50	$60	$2.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$80	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kevin Macdonald — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	634	5,570	70	$90	$11.2K
99232	3,629	8,050	70	$60	$8.7K
99223	678	5,590	40	$130	$7.6K
99222	2,700	5,480	30	$100	$4.2K
36573	6	20	30	$60	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Srini Vasan	OH	Radiation Oncology Physician	$807K	$0
Jay Hamze	OH	Interventional Cardiology Physician	$473K	$0
Nadeem Malik	OH	Anatomic Pathology & Clinical Pathology Physician	$249.5K	$79.3K
Tarun Nagrani	OH	Cardiovascular Disease Physician	$286K	$0
John Sheldon	MA	Radiation Oncology Physician	$274.9K	$0
James Harris	OH	Nurse Practitioner	$179.2K	$15.8K
Matthew Watson	OH	Cardiovascular Disease Physician	$192.4K	$0
Yousef Kaid	OH	Cardiovascular Disease Physician	$163.6K	$28.7K
Raja Sinha	OH	Nephrology Physician	$183.9K	$0
Joseph Leith	OH	Orthopaedic Surgery Physician	$178K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scioto County Counseling Center, Inc	OH	Addiction (Substance Use Disorder) Counselor	$0	$166.5M
Southern Ohio Medical Center	OH	General Acute Care Hospital	$0	$144.9M
Phoenix Group Home, LLC	OH	Community/Behavioral Health Agency	$0	$98.8M
Mahajan Therapeutics, LLC	OH	Community/Behavioral Health Agency	$0	$33.9M
Scioto County Counseling Center, Inc.	OH	Mental Health Counselor	$0	$27.7M
Amazing Grace Center Inc	OH	Methadone Clinic	$349.1K	$26.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Portsmouth Emergency Ambulance Service Inc	OH	Ambulance	$3.6M	$18.7M
Genesis Respiratory Services Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$20.4M
Portsmouth Hospital Corporation	OH	General Acute Care Hospital	$0	$19.7M

Kevin Macdonald — Billing Profile & Reimbursement Data

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Kevin Macdonald — 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