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

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Dusten Macdonald (NPI 1467550012)

Field	Value
Entity Type	Individual
Organization	Dusten Macdonald
Address	Madigan Army Medical Ctr
City	Joint Base Lewis Mcchord
State	WA
ZIP	98431
Taxonomy	Radiation Oncology Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$246.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	390	$150	$60.2K
77014	N/A	1,170	$40	$42.1K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	60	$340	$21.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	370	$50	$18.3K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	630	$30	$16.9K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	120	$140	$15.8K
99214	The 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…	210	$70	$14.4K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	70	$180	$12.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	90	$140	$12.4K
77295	Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…	50	$180	$9.9K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Dusten Macdonald — 5 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77014	13	120	450	$60	$32.7K
77301	7	90	30	$770	$28.5K
77427	4	110	150	$150	$26.5K
99214	2,675	10,860	100	$80	$13.6K
77435	25	30	20	$520	$13.1K
77338	7	90	40	$250	$10.1K
77334	3	120	110	$60	$8.7K
99215	3,086	4,320	40	$120	$8.4K
77280	15	100	30	$140	$8.2K
77263	3	110	50	$140	$7.7K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Park	WA	Diagnostic Radiology Physician	$744.5K	$0
Thomas Webster	WA	Nuclear Medicine Physician	$408.1K	$2.2K
David Mccune	WA	Hematology & Oncology Physician	$389.7K	$0
Andrew Mosier	WA	Diagnostic Radiology Physician	$253.8K	$0
David Tu Nguyen	WA	Diagnostic Radiology Physician	$215.5K	$0
James Graham	WA	Diagnostic Radiology Physician	$173.8K	$0
Jonathan Davison	WA	Nuclear Medicine Physician	$147.7K	$0
Neil Hannigan	WA	Nephrology Physician	$140.7K	$0
Paul Freeman	WA	General Practice Physician	$129.4K	$0
Brian Cashin	WA	Emergency Medicine Physician	$107.6K	$0

Dusten Macdonald — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References