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    v1.0.28
    OpenPayerNPI Medicare & MedicaidClement Mcdonald
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    Clement Mcdonald — Billing Profile & Reimbursement Data

    NPI 1376604488 · Lafayette, IN · Otolaryngology Physician

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    Clement Mcdonald is a otolaryngology physician provider located in Lafayette, Indiana. This profile covers 10 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
    OrganizationClement Mcdonald
    Address2320 Concord Rd Ste A
    CityLafayette
    StateIN
    ZIP47909
    TaxonomyOtolaryngology Physician
    NPI EnumeratedDecember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$65.5K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$90$13.6K
    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…210$60$12.5K
    99204The provider sees a new 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 provider…100$110$11K
    99203The provider sees a new 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 provider…130$70$9.5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.70$90$5.8K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.150$30$4.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…90$40$3.3K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.20$140$2.8K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing30$40$1.2K
    99222The 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…10$100$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 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,41110,540110$80$15.5K
    312317210040$130$9.3K
    992132,06910,82080$50$7.6K
    992044324,69030$100$4.9K
    315753715040$80$4.2K
    992222,6732,80030$90$4.1K
    992032283,49030$70$3.1K
    992124072,36030$30$2.1K
    692102929030$30$1.8K
    G0268104020$30$970

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Community Health Network, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$37.4M
    Riverview HospitalINFamily Medicine Physician$0$9.1M
    Riverview HospitalINGeneral Acute Care Hospital$0$7.9M
    Zainab RashidAZDermatology Physician$3.3M$0
    Otolaryngology Associates, LLCINOtolaryngology Physician$0$3.1M
    Ruemu BirhirayINHematology & Oncology Physician$957.5K$0
    Ashwin VasudevamurthyINMedical Oncology Physician$587.7K$0
    Lorraine CalvertINAdult Health Nurse Practitioner$484.2K$0
    Muhammad Sarfraz NawazINHematology & Oncology Physician$420.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid-land Meals, Inc.INRegistered Dietitian$0$4.6M
    Wee Speak PCINSpeech-Language Pathologist$0$3.4M
    Lincare Inc.INDurable Medical Equipment & Medical Supplies$0$3.1M
    John ThomasINInternal Medicine Physician$174.8K$0
    Neil MascarenhasINVascular & Interventional Radiology Physician$109.2K$0
    Shadi ResheidatINFamily Medicine Physician$47.6K$0
    Kelly ToddINAudiologist$20K$0
    Sagamore Surgical Services, Inc.INAmbulatory Surgical Clinic/Center$7K$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. Indiana Distribution
    Clement Mcdonald — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana