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    OpenPayerNPI Medicare & MedicaidEdward Donner
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    Edward Donner — Billing Profile & Reimbursement Data

    NPI 1710968185 · Johnstown, CO · Orthopaedic Surgery of the Spine Physician

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    Edward Donner is a orthopaedic surgery of the spine physician provider located in Johnstown, Colorado. This profile covers 25 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
    OrganizationEdward Donner
    Address4795 Larimer Pkwy
    CityJohnstown
    StateCO
    ZIP80534
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedNovember 10, 2005

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

    Payer SourceTotal Paid
    Medicare$220K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22515At the same session as percutaneous vertebral augmentation of a thoracic or lumbar vertebral body, the provider repeats the procedure on each additional vertebral body. The provider performs a…20$2,530$50.6K
    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…260$100$25.2K
    22533A provider performs arthrodesis, also called spinal fusion, to permanently join two or more vertebrae in the lumbar spine. Spinal arthrodesis restores mobility and alleviates persistent pain…20$1,300$23.4K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$650$12.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$490$10.8K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…20$610$10.4K
    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…70$140$10.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).50$190$9.5K
    22325The provider treats a fracture or dislocation of a lumbar vertebra, one of the interlocking bones of the lower back, in an open procedure. He makes an incision and realigns the fractured or displaced…10$710$7.8K
    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…60$120$7.7K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2251511020$2,440$41.5K
    22612163020$970$24.2K
    644839916070$200$23.6K
    22614768060$210$15.9K
    6449311814050$190$15K
    2253311020$730$13.2K
    630472710020$530$12.2K
    992141,2958,16080$80$11.3K
    22842779020$400$9.1K
    992159223,23040$110$8.1K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory ArendsCOPhysical Medicine & Rehabilitation Physician$87.4K$0
    Steven BeerWYNeurological Surgery Physician$62.4K$0
    Christopher KottenstetteCOMedical Physician Assistant$13K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thompson River Pediatrics And Urgent Care, LLCCOPediatrics Physician$0$8M
    Revelyn ArroganteCOPhysical Medicine & Rehabilitation Physician$294.3K$0
    Arete Surgical Center, LLCCOAmbulatory Surgical Clinic/Center$280K$0
    Sarah HoweCONurse Practitioner$246K$0
    Professional Pharmacy ServicesCOLong Term Care Pharmacy$87.5K$95.2K
    Jack TorresCOPhysical Medicine & Rehabilitation Physician$144K$0
    Aaron McgrewCOMedical Physician Assistant$106.6K$0
    Harmony Imaging Center LLCCODiagnostic Radiology Physician$76.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Edward Donner — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado