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

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

Kelly Donihe (NPI 1649741786)

Field	Value
Entity Type	Individual
Organization	Kelly Donihe
Address	430 Saybrook Rd
City	Middletown
State	CT
ZIP	06457
Taxonomy	Surgical Physician Assistant
NPI Enumerated	December 16, 2018

Payer Source	Total Paid
Medicare	$40.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	170	$90	$14.1K
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,880	$10	$9.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	150	$50	$7.3K
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…	90	$60	$5.4K
99204	The provider sees a new 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 provider…	30	$100	$2.8K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	170	$10	$840
J1020	Injection, methylprednisolone acetate, 20 mg	60	$1	$170
J1100	Injection, dexamethasone sodium phosphate, 1 mg	80	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Kelly Donihe — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,989	6,480	90	$90	$14.2K
J7318	6	30	1,410	$10	$9.4K
99213	2,773	6,440	70	$60	$8.1K
20610	100	420	60	$50	$5.4K
99204	1,228	2,660	30	$120	$4.6K
J0702	64	150	110	$1	$1.2K
J1020	12	30	50	$1	$240
J1100	71	100	180	$1	$60

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Hospital Incorporated	CT	General Acute Care Hospital	$0	$68.1M
Bristol Hospital Multi Specialty Group, Inc	CT	General Practice Physician	$0	$7.5M
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
Bristol Hospital Multi-specialty Group, Inc.	CT	Psychiatry Physician	$0	$1.3M
Mhs Primary Care Inc	CT	Urgent Care Clinic/Center	$0	$1.2M
Michael Singer	NY	Diagnostic Radiology Physician	$1.2M	$0
Orthopaedic & Neurosurgery Specialists, PLLC	CT	Orthopaedic Surgery Physician	$0	$1.1M
Peter Stein	NY	Orthopaedic Hand Surgery Physician	$631.8K	$0
Kapil Desai	CT	Diagnostic Radiology Physician	$576.8K	$20.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M

Kelly Donihe — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References