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    OpenPayerNPI Medicare & MedicaidFrancis Mcdonnell
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    Francis Mcdonnell — Billing Profile & Reimbursement Data

    NPI 1760411052 · Evansville, IN · Pain Medicine (Anesthesiology) Physician

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    Francis Mcdonnell is a pain medicine (anesthesiology) physician provider located in Evansville, Indiana. This profile covers 17 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrancis Mcdonnell
    Address1101 Professional Blvd Ste 100
    CityEvansville
    StateIN
    ZIP47714
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJuly 1, 2006

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

    Payer SourceTotal Paid
    Medicare$92.9K
    Medicaid$44.8K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…360$60$20K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.280$60$16.1K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…50$220$10.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$440$7.9K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…80$80$5.8K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…20$310$5.6K
    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…50$90$4.4K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…20$240$4.3K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…30$130$3.6K
    64445The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…30$120$3.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483213080$240$97.6K
    8030745120180$60$21.2K
    6463512315030$360$16.1K
    992147,53510,540110$80$15.5K
    64633275020$380$9.5K
    9921393110,82080$50$7.6K
    64490509030$190$6.7K
    646369011030$100$4.2K
    64634183020$110$2.7K
    6444592020$80$2.7K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…250$60$14.3K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…270$30$8K
    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…90$50$4.3K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…110$40$4K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…450$10$3.2K
    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…30$80$2.5K
    64491In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…110$20$2.1K
    64492In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,…110$20$2.1K
    64495In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,…110$20$1.9K
    64520In this procedure, the provider performs a nerve block on the lumbar or thoracic paravertebral sympathetic nerves, which are part of the sympathetic division of the autonomic nervous system. Blocking…30$50$1.6K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,7072,120870$60$450.6K
    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…616790150$90$99.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…277090$120$62K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…920120$80$23.7K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…2470110$40$21.5K
    64495In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,…1320120$30$19.4K
    64491In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…910140$30$11.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…3890340$10$10.9K
    64520In this procedure, the provider performs a nerve block on the lumbar or thoracic paravertebral sympathetic nerves, which are part of the sympathetic division of the autonomic nervous system. Blocking…21040$220$8.9K
    64492In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,…510140$10$1.5K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pain Management Centers Of America, PscINInterventional Pain Medicine Physician$145.6K$11.2M
    Randall OliverINInterventional Pain Medicine Physician$1.5M$0
    Laxmaiah ManchikantiKYInterventional Pain Medicine Physician$358.3K$453.6K
    Advanced Ambulatory Surgery Center, LLCINAmbulatory Surgical Clinic/Center$619.8K$123.2K
    Yogesh MallaKYInterventional Pain Medicine Physician$219.5K$380.6K
    David BosomworthKYInterventional Pain Medicine Physician$566.1K$10.2K
    Timothy MimsKYPain Medicine (Anesthesiology) Physician$542.1K$14.9K
    Timothy BeachamKYPain Medicine (Anesthesiology) Physician$534.2K$0
    Kavita ManchikantiKYInterventional Pain Medicine Physician$234.9K$230.6K
    Terra WadleyKYGerontology Nurse Practitioner$418K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apex Behavioral Services L.L.P.INBehavior Analyst$0$41.5M
    Virtual Consult Md LLCINPsychiatry Physician$0$8.2M
    Rehabilitation Center Developmental Services, Inc.INDevelopmentally Disabled Services Day Training Agency$0$5.5M
    Counseling For Change, Inc.INCommunity/Behavioral Health Agency$0$3.2M
    Easter Seals Rehabilitation Center, Inc.INRehabilitation Clinic/Center$0$2.7M
    Vijay BhasinINNephrology Physician$539.9K$0
    Anatomic Laboratory Of The Tri-state, LLCINClinical Medical Laboratory$206.3K$203.9K
    Umang PatelINClinical Cardiac Electrophysiology Physician$356.2K$0
    Mike SebastianINFamily Medicine Physician$338.8K$0
    Gregory HaydenINOphthalmology Physician$295.2K$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.

    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. Indiana Distribution
    Francis Mcdonnell — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Francis Mcdonnell — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana