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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhilip O'donnell
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    Philip O'donnell — Billing Profile & Reimbursement Data

    NPI 1871596924 · Winchester, VA · Cardiovascular Disease Physician

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    Philip O'donnell is a cardiovascular disease physician provider located in Winchester, Virginia. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPhilip O'donnell
    Address104 Selma Dr
    CityWinchester
    StateVA
    ZIP22601
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicare$172.9K
    Medicaid$0

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…510$140$71.2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…180$140$24.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…60$320$17.9K
    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…190$90$16.6K
    76706The provider performs an ultrasound (a noninvasive imaging procedure that uses high–frequency sound waves) of the abdominal aorta, the largest artery supplying blood and oxygen to organs and…60$110$6K
    J2785Injection, regadenoson, 0.1 mg110$50$5.4K
    93248After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…230$20$4.7K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose110$40$4.6K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…20$180$4.2K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…60$50$2.8K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306107580300$80$26.2K
    992145,34112,890140$80$21K
    7845225741070$180$17.2K
    A950054100130$90$15.3K
    J2785143180290$40$14.4K
    9921310,35412,44090$60$10K
    80053571750210$10$8.1K
    80061484630180$10$8.1K
    93294146160290$20$7.9K
    938806242060$80$7.9K

    Showing 1–10 of 25

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Philip O'donnell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Winchester Medical CenterVAGeneral Acute Care Hospital$0$69.9M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M
    Winchester Medical CenterVAClinical Medical Laboratory$2M$4.8M
    Eric SteuerVARetina Specialist (Ophthalmology) Physician$2.7M$0
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Shaina Rubino LoverdeVARetina Specialist (Ophthalmology) Physician$1.8M$0
    Rabia ArshadVACardiovascular Disease Physician$469.8K$0
    William JonesVAUrology Physician$468.4K$0
    Shaik SamdaniVAPhysical Medicine & Rehabilitation Physician$402.4K$0
    Edward SmithVAInternal Medicine Physician$402K$0

    Nearby Providers

    Other providers in the same ZIP code as Philip O'donnell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grafton School, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$92M
    Grafton School IncVAPsychiatric Residential Treatment Facility$0$33M
    Shenandoah Valley Community Residences, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.4M
    Compassionate Home CareVAIn Home Supportive Care Agency$0$14.5M
    Nova Family Services, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.5M
    Uncle Sam Transportation LLCVATaxi$0$12M
    National Counseling Group, IncVAMental Health Counselor$0$11.2M
    Pediatrix Medical Group PCVANeonatal-Perinatal Medicine Physician$0$10.8M
    Gaurav Agarwal Dds, Msd, PLLCVADental Clinic/Center$0$8.9M
    Valley Regional Enterprises, IncVAUrgent Care Clinic/Center$0$8.6M

    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. Virginia Distribution
    Philip O'donnell — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia