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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Donal Crowder (NPI 1912916065)

Field	Value
Entity Type	Individual
Organization	Donal Crowder
Address	1168 E Cutlar Xing
City	Leland
State	NC
ZIP	28451
Taxonomy	Psychologist
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicare	$23.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	70	$80	$6.2K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	80	$70	$5.3K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	70	$70	$4.7K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	70	$30	$2.4K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	70	$30	$2.1K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	40	$40	$1.6K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	60	$20	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Donal Crowder — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96130	5	30	20	$90	$3.9K
96137	26	40	90	$30	$3.6K
96131	5	20	40	$60	$3.5K
96156	1	10	40	$70	$2.6K
96136	10	60	30	$30	$1.5K
96158	3	10	40	$40	$1.4K
96159	2	10	60	$10	$780

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hometown Oxygen Charlotte, LLC	NC	Oxygen Equipment & Supplies (DME)	$0	$20.1M
Brunswick Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.7M	$0
Thomas Braza	NC	MOHS-Micrographic Surgery Physician	$629.2K	$0
James Adams	NC	Family Medicine Physician	$554.8K	$0
Darshan Dave	NC	Internal Medicine Physician	$492.4K	$0
Kirsten Siwy	NC	Medical Physician Assistant	$459.8K	$0
Andrew Kellermann	NC	Internal Medicine Physician	$431.3K	$0
David Zub	NC	Pain Medicine Physician	$419.2K	$0
Eric Carter	NC	Physician Assistant	$313.2K	$0
Nicholas Halaby	NC	Family Medicine Physician	$280K	$0

Donal Crowder — Billing Profile & Reimbursement Data

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Donal Crowder — 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