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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Craig Donelan (NPI 1417934696)

Field	Value
Entity Type	Individual
Organization	Craig Donelan
Address	1305 W 18th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Anesthesiology Physician
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicare	$23.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	80	$50	$4.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	50	$60	$3.2K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$110	$2.2K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	30	$70	$1.8K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	10	$140	$1.7K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$140	$1.6K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	30	$60	$1.5K
01230	The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.	10	$110	$1.2K
00300	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.	10	$90	$1.1K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	30	$30	$990

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Craig Donelan — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	58	70	30	$80	$10.7K
01402	98	110	20	$150	$3.9K
00790	15	50	20	$130	$2.3K
00811	10	230	20	$60	$2.1K
00840	25	30	10	$130	$1.9K
00731	18	190	20	$60	$1.8K
00813	21	110	20	$80	$1.6K
64447	23	40	30	$50	$1.5K
00812	60	90	20	$70	$1.4K
01230	3	10	10	$110	$1.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anesthesia Physicians Ltd	SD	Anesthesiology Physician	$0	$1.8M
Rachelle Sutton	SD	Anesthesiology Physician	$39.4K	$0
Jon Christensen	MN	Anesthesiology Physician	$33.7K	$0
Gregory Hieb	SD	Anesthesiology Physician	$28.7K	$0
Bradley Iverson	SD	Anesthesiology Physician	$28.7K	$0
Seri Carney	SD	Anesthesiology Physician	$25.6K	$0
Marshall Holifield	SD	Anesthesiology Physician	$24K	$0
David Dingsor	SD	Anesthesiology Physician	$23.6K	$0
Matthew Ulrich	SD	Anesthesiology Physician	$21.4K	$0
Robert Lunn	SD	Anesthesiology Physician	$19.6K	$0

Craig Donelan — Billing Profile & Reimbursement Data

Sign up for Craig Donelan — Billing Profile & Reimbursement Data policy alerts

Craig Donelan — Billing Profile & Reimbursement Data

Sign up for Craig Donelan — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References