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NPI 1558381467 · Marksville, LA · Specialist
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Donna Breen is a specialist provider located in Marksville, Louisiana. This profile covers 32 Medicare and 16 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Donna Breen |
| Address | 198 Dr Childress Dr |
| City | Marksville |
| State | LA |
| ZIP | 71351 |
| Taxonomy | Specialist |
| NPI Enumerated | July 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $499K |
| Medicare | $84.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 1,620 | $10 | $16.2K |
| 99212 | The 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,… | 290 | $40 | $10.2K |
| 99213 | The 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… | 160 | $60 | $9.4K |
| 92504 | In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis… | 400 | $20 | $7.6K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 430 | $10 | $3.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 80 | $40 | $3.4K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 100 | $30 | $3K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 360 | $10 | $2.9K |
| 99203 | The 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… | 40 | $70 | $2.5K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 40 | $50 | $2.2K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 5,608 | 6,670 | 110 | $80 | $16.5K |
| 95165 | 18 | 60 | 870 | $10 | $14.1K |
| 17110 | 234 | 240 | 80 | $70 | $10K |
| 17000 | 208 | 270 | 150 | $30 | $9.1K |
| 99213 | 1,603 | 6,060 | 70 | $50 | $8.1K |
| 99204 | 2,532 | 3,190 | 30 | $110 | $4.8K |
| 17003 | 221 | 240 | 540 | $1 | $4.4K |
| 90662 | 630 | 800 | 40 | $70 | $4.4K |
| 95117 | 20 | 50 | 260 | $10 | $3.6K |
| 11642 | 17 | 20 | 20 | $100 | $3.2K |
Showing 1–10 of 32
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 870 | $210 | $186.4K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 13,580 | $10 | $122.2K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 2,300 | $50 | $110.2K |
| 99212 | The 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,… | 1,690 | $20 | $28.8K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 470 | $40 | $16.7K |
| 99213 | The 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… | 600 | $30 | $16.7K |
| 95024 | The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests. | 670 | $10 | $6.7K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 920 | $10 | $6.4K |
| 99203 | The 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… | 110 | $50 | $5.5K |
| 82785 | The lab analyst performs the technical lab test to analyze the quantity of immunoglobulin E in the specimen. | 100 | $20 | $1.5K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,900 | 3,230 | 1,120 | $30 | $204.3K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 13 | 50 | 400 | $150 | $168.8K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 6 | 30 | 660 | $50 | $69.2K |
| 99203 | The 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… | 782 | 1,280 | 180 | $50 | $64.8K |
| 99212 | The 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,… | 400 | 1,460 | 440 | $20 | $64K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 5 | 60 | 2,120 | $10 | $37.1K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 498 | 790 | 430 | $10 | $30.6K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 19 | 40 | 920 | $10 | $16K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 87 | 110 | 290 | $10 | $14.1K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 90 | 500 | 90 | $30 | $12.4K |
Showing 1–10 of 16
Other providers in the same ZIP code as Donna Breen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Immaculate Heart Of Mary-pcs,llc | LA | Personal Care Attendant | $0 | $23.2M |
| L & D Community Care, Inc. | LA | In Home Supportive Care Agency | $0 | $19M |
| Washington Street Hope Center Inc | LA | Substance Abuse Rehabilitation Facility | $0 | $10.3M |
| L & D Community Care, Inc | LA | In Home Supportive Care Agency | $0 | $7.4M |
| Clhg-avoyelles, LLC | LA | General Acute Care Hospital | $0 | $4.6M |
| Geroge Ebersohn | LA | Specialist | $149.8K | $0 |
| Dixie Clement | LA | Family Medicine Physician | $113.4K | $0 |
| Averie Rachal | LA | Family Nurse Practitioner | $91.4K | $0 |
| Allen Mcclure | LA | Surgery Physician | $46K | $0 |
| Harold Lacassin | LA | Chiropractor | $39.3K | $2.3K |
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