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    OpenPayerNPI Medicare & MedicaidThomas Mcdonald
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    Thomas Mcdonald — Billing Profile & Reimbursement Data

    NPI 1710956289 · Colorado Springs, CO · Neurology Physician

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    Thomas Mcdonald is a neurology physician provider located in Colorado Springs, Colorado. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Mcdonald
    Address2312 N Nevada Ave Ste 100
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyNeurology Physician
    NPI EnumeratedMarch 16, 2006

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

    Payer SourceTotal Paid
    Medicare$187.1K
    Medicaid$0

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit15,400$10$77K
    99214The 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…230$90$21.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…180$80$14K
    99215The provider sees an established 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…80$150$12K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…60$160$9.9K
    99204The 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…80$120$9K
    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…130$60$7.9K
    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…60$100$6K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…50$130$5.6K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…40$150$5.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585271007,900$1$73.7K
    992141,5538,16080$80$11.3K
    992331,0241,89070$90$11K
    96365137170100$50$9.5K
    992158143,23040$110$8.1K
    64615325060$100$8K
    95913152030$220$7.1K
    992231,8241,90030$130$6.7K
    992135,0927,20070$60$6.6K
    958861712060$70$6.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Optumcare Colorado Medical Group LLCCOGeneral Practice Physician$0$8.8M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Colorado Springs Neurological Associates, PCCONeurology Physician$0$4.7M
    Jodie GallegosCOFamily Nurse Practitioner$2.8M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Physicians Home CareCOIn Home Supportive Care Agency$0$247.9M
    A Circle Of Care Colorado, LLC.COIn Home Supportive Care Agency$0$101.8M
    Goodwill Of ColoradoCOHome Health Agency$0$33.3M
    Stellar Care And Services, LLCCOChild Intellectual and/or Developmental Disabilities Respite Care$0$31M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    American Medical Response Of Colorado IncCOAmbulance$3.4M$21.6M
    Special Kids Special FamiliesCODevelopmentally Disabled Services Day Training Agency$0$24.8M
    Lucas IncCORespite Care$0$23.6M
    Achieve Whole Recovery, PCCOSpecialist$0$22.7M
    Loving Care Agency, Inc.COIn Home Supportive Care Agency$0$18.2M

    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. Colorado Distribution
    Thomas Mcdonald — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado