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

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

Robert Donnell (NPI 1700874542)

Field	Value
Entity Type	Individual
Organization	Robert Donnell
Address	200 Hemlock St
City	Tawas City
State	MI
ZIP	48763
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	October 6, 2005

Payer Source	Total Paid
Medicare	$11.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	70	$90	$6.4K
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…	50	$50	$2.8K
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…	20	$110	$1.9K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Robert Donnell — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,348	15,470	80	$80	$11.4K
99213	8,162	14,810	60	$60	$6.6K
99204	4,397	6,280	30	$110	$4.2K
G2012	6	10	20	$10	$540

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Saginaw	MI	General Acute Care Hospital	$0	$38.7M
Mymichigan Medical Center Tawas	MI	General Acute Care Hospital	$0	$9.1M
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Mymichigan Medical Center Saginaw	MI	Radiation Oncology Physician	$595.8K	$0
Bishr Al Dabagh	NC	MOHS-Micrographic Surgery Physician	$540.9K	$0
Asim Yunus	MI	Clinical Cardiac Electrophysiology Physician	$328.8K	$0
Raj Bose	AZ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$208.8K	$0
Kenneth Klein	WI	Radiation Oncology Physician	$169.3K	$0
Lakshmana Madala	MI	Pain Medicine (Anesthesiology) Physician	$160.5K	$0
Nicholas Damico	MI	Radiation Oncology Physician	$152.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Tripi	MI	Clinical Social Worker	$60.9K	$0
Molly Minard	MI	Physician Assistant	$50.1K	$0
Sherry Donovan	MI	Certified Registered Nurse Anesthetist	$19.6K	$0
Tawas Pharmacy	MI	Community/Retail Pharmacy	$13.8K	$0

Robert Donnell — Billing Profile & Reimbursement Data

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Robert Donnell — 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