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

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

Frank Donatello (NPI 1801843156)

Field	Value
Entity Type	Individual
Organization	Frank Donatello
Address	6360 W. 159th Street
City	Oak Forest
State	IL
ZIP	60452
Taxonomy	Family Medicine Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$156.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 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…	750	$90	$66.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	$130	$19.6K
99233	The 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…	130	$100	$12.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$150	$7.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	460	$10	$6.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	770	$10	$6.2K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	30	$230	$6.1K
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…	40	$140	$5.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$100	$4.1K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	170	$20	$3.8K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Frank Donatello — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2,577	5,990	100	$100	$18.7K
99214	715	18,540	110	$80	$17.1K
G0439	1,051	4,030	70	$130	$13.6K
99232	5,240	7,960	90	$60	$12.4K
99223	2,871	6,190	50	$140	$10.4K
99215	3,207	6,240	40	$120	$10.1K
99239	1,686	2,610	70	$90	$8.4K
99205	1,863	2,730	30	$160	$5.7K
99496	165	560	20	$210	$5.5K
G0438	299	1,000	20	$160	$3.6K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Nursing Services Inc	IL	Home Health Agency	$0	$80.2M
Advantage Nursing Services, Inc	IL	Nursing Care Agency	$0	$8.7M
Southwest Cook County Cooperative Assn For Special Education	IL	Local Education Agency (LEA)	$0	$5.1M
Rama Jager	IL	Ophthalmology Physician	$1.6M	$30.1K
Veeral Sheth	IL	Ophthalmology Physician	$1.6M	$24.9K
Meena George	IL	Ophthalmology Physician	$1.1M	$167.9K
Harit Bhatt	IL	Ophthalmology Physician	$922K	$220.2K
Jose Mario Flores	IL	Family Medicine Physician	$252.2K	$22.8K
Rodney Thill	IL	Surgery Physician	$45.5K	$770

Frank Donatello — Billing Profile & Reimbursement Data

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Frank Donatello — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References