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    OpenPayerNPI Medicare & MedicaidSteven O'donnell
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    Steven O'donnell — Billing Profile & Reimbursement Data

    NPI 1922057363 · Erie, PA · Neuromusculoskeletal Medicine & OMM Physician

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    Steven O'donnell is a neuromusculoskeletal medicine & omm physician provider located in Erie, Pennsylvania. This profile covers 16 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSteven O'donnell
    Address2115 W 38th St
    CityErie
    StatePA
    ZIP16508
    TaxonomyNeuromusculoskeletal Medicine & OMM Physician
    NPI EnumeratedMay 10, 2006

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

    Payer SourceTotal Paid
    Medicare$99.7K
    Medicaid$87.3K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…560$70$36.8K
    98929The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.580$60$35.5K
    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…160$90$14.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$1.8K
    99212The 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,…40$40$1.8K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.10$120$1.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$80$1.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…120$10$1.3K
    G0444Annual depression screening, 5 to 15 minutes60$20$1.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$50$1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    98929310120$60$24.2K
    992148,32623,230100$80$14.5K
    913201,6501,79050$130$11.2K
    G04394,7935,25060$110$9.5K
    9921378822,37070$60$7.7K
    906942,0702,40070$80$7.5K
    206101,5841,98060$50$6.7K
    904802,4522,62090$40$4.7K
    9949787292040$60$4K
    992036,6677,33030$70$3.5K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    98929The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.1,460$30$41K
    99213The 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…1,290$20$29.6K
    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…450$40$16.6K
    G0444Annual depression screening, 5 to 15 minutes10$10$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9498,160210$60$68.4K
    99213The 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…1,7088,870240$40$56.1K
    98929The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.11080$30$14.8K
    G0444Annual depression screening, 5 to 15 minutes25329060$10$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William CraneNYOphthalmology Physician$94.6K$23.1K
    Matthew BeckerPAInterventional Cardiology Physician$99.8K$3.4K
    James LinPAGeriatric Medicine (Internal Medicine) Physician$67.3K$3.7K
    Helen DavisPAOphthalmology Physician$39.5K$1.6K
    Jay KiesslingPAVascular Surgery Physician$19.3K$0
    Christopher RialPASports Medicine (Family Medicine) Physician$13.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safe Harbor Behavioral Health Of Upmc HamotPAMental Health Clinic/Center (Including Community Mental Health Center)$0$13M
    Stairways Behavioral HealthPAClinic/Center$0$9.7M
    Lakeshore Community Services, Inc.PACase Management Agency$0$9.6M
    Leeza PatelPARheumatology Physician$1.4M$0
    Kathe BrysonPARheumatology Physician$821.2K$0
    Kevin MikielskiPACardiovascular Disease Physician$352.6K$428.5K
    Diagnostic X-ray Service, Inc.PAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$338K$26.3K
    Eric MiliePAInternal Medicine Physician$99.9K$188K
    Thomas WilkinsPAPhysical Medicine & Rehabilitation Physician$234.6K$0
    Hitesh GidwaniPACritical Care Medicine (Internal Medicine) Physician$163K$0

    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. Pennsylvania Distribution
    Steven O'donnell — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Steven O'donnell — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania