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    OpenPayerNPI Medicare & MedicaidJohn Mcdonald
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    John Mcdonald — Billing Profile & Reimbursement Data

    NPI 1427021872 · Feasterville Trevose, PA · Family Medicine Physician

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    John Mcdonald is a family medicine physician provider located in Feasterville Trevose, Pennsylvania. This profile covers 23 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
    OrganizationJohn Mcdonald
    Address523 Bustleton Pike
    CityFeasterville Trevose
    StatePA
    ZIP19053
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicare$177.6K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$60$25.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit180$130$24.4K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…650$30$20.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.430$40$17.3K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…410$40$16.1K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…410$40$15.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…280$50$14.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$9.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…100$70$7.1K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$170$6.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921414,95423,230100$80$14.5K
    99458570100$30$13.2K
    99490172510170$40$12.6K
    9945718150100$40$10K
    G04396305,25060$110$9.5K
    9945415150100$40$8.5K
    992131,42922,37070$60$7.7K
    906775182,94020$280$7.2K
    9943931300100$30$7.2K
    906627494,19040$70$4.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas SabalaskePAFamily Medicine Physician$185.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Home Care, IncPAHome Health Agency$0$51.7M
    Partnership For Community SupportsPACase Management Agency$0$34.6M
    Sma Medical, Inc.PAClinical Medical Laboratory$13.4M$20.4M
    Better Home Care Agency, LLCPAHome Health Agency$0$20.7M
    Loving Care Agency, Inc.PAHome Health Agency$0$18.4M
    Fidelity Home Health LLCPAHome Health Agency$0$13.8M
    Vitacare Home Health IncPAHome Health Agency$0$12.9M
    Partnership For Community SupportsPAEarly Intervention Provider Agency$0$9.9M
    A-team Home Care, Inc.PAHome Health Agency$0$8.3M
    Altruistic Home Care Agency, LLCPAIn Home Supportive Care Agency$0$6.7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    John Mcdonald — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania