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

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

Donna Edmondson (NPI 1841472156)

Field	Value
Entity Type	Individual
Organization	Donna Edmondson
Address	333 Cottman Ave
City	Philadelphia
State	PA
ZIP	19111
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	November 28, 2007

Payer Source	Total Paid
Medicare	$19.5K
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
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…	120	$60	$7.5K
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…	80	$100	$7.3K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	150	$20	$3.3K
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…	10	$100	$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…	10	$50	$520

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. Pennsylvania Distribution

Donna Edmondson — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,651	23,230	100	$80	$14.5K
99215	1,955	7,170	40	$120	$8.6K
99213	22,151	22,370	70	$60	$7.7K
99204	9,769	10,290	30	$110	$5K
99407	1	20	20	$30	$790

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicos Nicolaou	PA	Radiation Oncology Physician	$1M	$0
Clifford Perlis	PA	Procedural Dermatology Physician	$622K	$0
Alan Maurer	PA	Nuclear Radiology Physician	$427K	$0
Anthony Corcoran	NY	Urology Physician	$311.1K	$0
Eric Horwitz	PA	Radiation Oncology Physician	$196.5K	$0
Samuel Putnam	MS	Vascular & Interventional Radiology Physician	$168.6K	$0
Thomas Galloway	PA	Radiation Oncology Physician	$137.3K	$0
Joshua Meyer	PA	Radiation Oncology Physician	$135.7K	$0
Rosalia Viterbo	PA	Urology Physician	$124.9K	$0
Rohit Walia	PA	Diagnostic Neuroimaging (Radiology) Physician	$119.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fox Chase Home Care, Inc.	PA	Home Health Agency	$0	$16.7M
Temple University Hospital, Inc	PA	General Acute Care Hospital	$0	$13.6M
Anant Pranam LLC	PA	In Home Supportive Care Agency	$0	$6.7M
Path (people Acting To Help), Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Manju Ambelil	PA	Anatomic Pathology & Clinical Pathology Physician	$374.9K	$20.8K
Linna Li	PA	Radiation Oncology Physician	$356.2K	$0
Walter Dearolf	PA	Orthopaedic Surgery Physician	$317.3K	$840
John Beight	PA	Orthopaedic Surgery Physician	$279.5K	$1.2K
Alex Mepari	PA	Internal Medicine Physician	$242.1K	$22K
Shelly Hayes	PA	Radiation Oncology Physician	$193.1K	$0

Donna Edmondson — Billing Profile & Reimbursement Data

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Donna Edmondson — 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