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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Tywana Donaldson (NPI 1285108209)

Field	Value
Entity Type	Individual
Organization	Tywana Donaldson
Address	30 Medicine Circle
City	Durham
State	NC
ZIP	27710
Taxonomy	Nurse Practitioner
NPI Enumerated	January 12, 2019

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3380	Injection, vedolizumab, intravenous, 1 mg	15,300	$20	$260.1K
J3262	Injection, tocilizumab, 1 mg	46,950	$10	$234.8K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	4,830	$30	$159.2K
J0897	Injection, denosumab, 1 mg	8,640	$20	$155.5K
J3111	Injection, romosozumab-aqqg, 1 mg	17,010	$10	$136.1K
J9312	Injection, rituximab, 10 mg	2,030	$60	$129.9K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5,640	$20	$129.7K
J1602	Injection, golimumab, 1 mg, for intravenous use	8,020	$10	$80.2K
Q5115	Injection, rituximab-abbs, biosimilar, (truxima), 10 mg	1,400	$30	$42K
Q5121	Injection, infliximab-axxq, biosimilar, (avsola), 10 mg	1,760	$20	$35.2K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Tywana Donaldson — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	53	70	9,530	$30	$393.2K
J3262	16	40	37,160	$1	$224.8K
J9312	10	20	2,070	$60	$178.1K
J1602	51	70	11,900	$10	$175.9K
J3380	4	30	6,300	$20	$171.4K
J3111	14	30	13,970	$10	$135.8K
J1745	25	80	4,110	$30	$117.3K
J0897	38	430	2,100	$20	$63.9K
Q5115	3	10	1,450	$30	$61.5K
Q5121	2	10	1,160	$20	$32.2K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Private Diagnostic Clinic, PLLC	NC	General Practice Physician	$0	$46.5M
Duke University Health System, Inc.	NC	General Acute Care Hospital	$0	$44.4M
Duke Health Integrated Practice, Inc.	NC	General Practice Physician	$0	$36.3M
Balboa Nephrology Medical Group, Inc.	CA	Nephrology Physician	$0	$25.9M
Duke University Health System, Inc.	NC	General Acute Care Hospital	$0	$11.6M
Duke University Affiliated Physicians, Inc.	NC	Emergency Medicine Physician	$0	$11.6M
Duke University Health System, Inc.	NC	Parenteral & Enteral Nutrition Supplies (DME)	$0	$8.3M
Duke University Health System Inc	NC	General Acute Care Hospital	$0	$7.9M
Duke University Health System, Inc.	NC	Internal Medicine Physician	$0	$7.6M
Majda Hadziahmetovic	NC	Ophthalmology Physician	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Allingham	NC	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Jonathan Cook	NC	Dermatology Physician	$1.6M	$0
Pretesh Patel	NC	Radiation Oncology Physician	$668.8K	$0
Pedro Vargas	NC	Diagnostic Radiology Physician	$439.5K	$0
Michael Rehorn	NC	Student in an Organized Health Care Education/Training Program	$369.4K	$0
Christopher Brown	NC	Orthopaedic Surgery Physician	$360.8K	$0
Sunit Vekaria	NC	Diagnostic Radiology Physician	$358.3K	$0
Priyatham Mettu	NC	Ophthalmology Physician	$332.6K	$0
Christopher Boehlke	NC	Ophthalmology Physician	$314.3K	$0
Leon Herndon	NC	Ophthalmology Physician	$264K	$0

Tywana Donaldson — 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