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    OpenPayerNPI Medicare & MedicaidJorge Donado
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    Jorge Donado — Billing Profile & Reimbursement Data

    NPI 1437539012 · Bridgeport, CT · Hospitalist Physician

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    Jorge Donado is a hospitalist physician provider located in Bridgeport, Connecticut. This profile covers 6 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJorge Donado
    Address267 Grant St
    CityBridgeport
    StateCT
    ZIP06610
    TaxonomyHospitalist Physician
    NPI EnumeratedJune 9, 2015

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

    Payer SourceTotal Paid
    Medicare$100.7K
    Medicaid$530

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…710$90$65K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…170$90$15.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…70$160$11.8K
    99232The 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…110$60$6.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…30$60$1.5K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$40$650

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992912741,13040$180$10.6K
    9923371,67060$100$10K
    992329452,53070$60$8.4K
    992395476050$90$6.8K
    9949722035040$60$3.7K
    992318661,00040$40$2.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The 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…30$20$540

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Connecticut median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99223The 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…7390130$60$89.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middlesex HospitalCTGeneral Acute Care Hospital$0$116.1M
    Mercy HospitalMEGeneral Acute Care Hospital$0$35.5M
    Columbia Memorial HospitalNYGeneral Acute Care Hospital$0$25.7M
    Middlesex HospitalCTFamily Nurse Practitioner$0$7.5M
    West Tennessee Healthcare Hospitalists IncTNHospitalist Physician$0$4.3M
    Middlesex HospitalCTLand Ambulance$1.4M$2M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    Middlesex HospitalCTHome Health Agency$0$2.9M
    Middlesex HospitalCTFamily Medicine Physician$0$2.7M
    David BentonMEHematology & Oncology Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bridgeport HospitalCTGeneral Acute Care Hospital$0$287.1M
    Northeast Medical Group, Inc.CTInternal Medicine Physician$0$59.6M
    Collins Pharmacy IncCTDurable Medical Equipment & Medical Supplies$0$59.1M
    Liberation Programs IncCTAdult Mental Health Clinic/Center$274.3K$17.3M
    Quentin Medical Group, LLCCTUrgent Care Clinic/Center$0$9.3M
    Recovery Network Of Programs, IncCTSubstance Use Disorder Rehabilitation Hospital Unit$0$7.2M
    Mgm Family DentalCTDental Clinic/Center$0$5.6M
    Advanced Cardiovascular Specialists PCCTCardiovascular Disease Physician$0$5.4M
    Recovery Network Of Programs, Inc.CTCommunity/Behavioral Health Agency$0$5.3M
    Recovery Network Of Programs, Inc.CTCommunity/Behavioral Health Agency$0$4.2M

    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. Connecticut Distribution
    Jorge Donado — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut
    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Jorge Donado — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut