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

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

Zarek Donohue LLC (NPI 1750552535)

Zarek Donohue LLC is a internal medicine physician provider located in Wilmington, Delaware. This profile covers 0 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.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Zarek Donohue LLC
Address	3411 Silverside Rd Ste 100
City	Wilmington
State	DE
ZIP	19810
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 19, 2008

Payer Source	Total Paid
Medicaid	$306.5K
Medicare	$0

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
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…	4,300	$50	$206.2K
99215	The 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…	1,060	$60	$63.8K
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…	390	$30	$12K
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…	140	$60	$7.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	140	$40	$5.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	120	$40	$4.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	270	$20	$4.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	240	$10	$1.5K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	50	$10	$620
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	60	$10	$460

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

Zarek Donohue LLC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	134	500	1,130	$50	$235.1K
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…	356	540	1,100	$40	$185.3K
99215	The 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…	33	150	230	$90	$110.4K
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…	107	180	220	$90	$101.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	33	50	160	$70	$51.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	29	50	170	$70	$41.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	17	30	440	$20	$39.1K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	72	110	270	$1	$11.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	49	100	230	$1	$6.7K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	13	50	200	$10	$2.2K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah Zarek	DE	Internal Medicine Physician	$268.4K	$0
David Donohue	DE	Internal Medicine Physician	$185.6K	$0
Jayshree Tailor	DE	Internal Medicine Physician	$111.6K	$0
Stephanie Farmer	MD	Adult Health Nurse Practitioner	$78.5K	$0
Caitlyn Mcbride	PA	Physician Assistant	$62.7K	$0
Emily Nardone	DE	Medical Physician Assistant	$48.3K	$0
Jessica Casale	DE	Family Nurse Practitioner	$44.7K	$0
Halley Donlin	DE	Physician Assistant	$40.4K	$0
Ruth Thuo	DE	Nurse Practitioner	$17.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel A Maher,dmd, PA	DE	Dentist	$0	$4.5M
Brandywine Pediatric Dentistry, P.A.	DE	Pediatric Dentistry	$0	$4M
Jason Kaplan	DE	Ophthalmology Physician	$2.7M	$0
Brandywine Pediatrics, P.A.	DE	Pediatrics Physician	$0	$1.6M
Harry Lebowitz	DE	Ophthalmology Physician	$1.1M	$0
Rehabilitation Associates, P.A.	DE	Physical Medicine & Rehabilitation Physician	$0	$852.8K
David Cozzolino	DE	Urology Physician	$786.9K	$0
Andrew Barrett	DE	Ophthalmology Physician	$671.1K	$0
Chloe Payne	DE	Dermatology Physician	$541.5K	$11.7K
James Fierro	DE	Family Medicine Physician	$530.7K	$0

Zarek Donohue LLC — Billing Profile & Reimbursement Data

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Zarek Donohue LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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