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

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

Warren Macdonald (NPI 1790729127)

Field	Value
Entity Type	Individual
Organization	Warren Macdonald
Address	1015 Unity Rd
City	Crossett
State	AR
ZIP	71635
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$23.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	260	$40	$9.4K
99203	The provider sees a new 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 provider…	80	$70	$5.5K
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…	90	$60	$5.1K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	100	$40	$3.5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Warren Macdonald — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,203	4,180	100	$50	$9.6K
99203	356	1,590	30	$60	$3.6K
99212	39	1,000	40	$30	$2.2K
20600	5	80	30	$30	$1.4K
J3301	282	470	140	$1	$290

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossett Health Foundation	AR	Critical Access Hospital	$0	$3.4M
Bradley Walsh	AR	Family Medicine Physician	$102.6K	$0
Benjamin Walsh	AR	Family Medicine Physician	$78.5K	$0
Autumn Bennett	AR	Women's Health Nurse Practitioner	$34.8K	$0
Kenneth Prather	AR	General Practice Physician	$26.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carousel School	AR	Developmentally Disabled Services Day Training Agency	$0	$2.6M
Milton Johnston Dds PC	AR	General Practice Dentistry	$0	$2.4M
Ashley County Skilled Workcenter, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$2.3M
James Leonard Workman Jr. PA	AR	Diagnostic Radiology Physician	$0	$2.1M
City Of Crossett	AR	Land Ambulance	$376.2K	$513.8K
Barry Thompson	AR	Family Medicine Physician	$235.1K	$104.1K
Walmart Inc.	AR	Community/Retail Pharmacy	$98.9K	$490
Andrew Bryan	AR	Emergency Medicine Physician	$94.9K	$0
Flem-flam Flemister	AR	Certified Registered Nurse Anesthetist	$7.7K	$0

Warren Macdonald — Billing Profile & Reimbursement Data

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Warren Macdonald — 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