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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Donovan
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    Michael Donovan — Billing Profile & Reimbursement Data

    NPI 1942208921 · Framingham, MA · Urology Physician

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    Michael Donovan is a urology physician provider located in Framingham, Massachusetts. This profile covers 35 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
    OrganizationMichael Donovan
    Address161 Worcester Rd
    CityFramingham
    StateMA
    ZIP01701
    TaxonomyUrology Physician
    NPI EnumeratedJuly 13, 2005

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

    Payer SourceTotal Paid
    Medicare$406.5K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,140$100$115.8K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…2,170$30$73.8K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…140$210$28.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg190$140$26.2K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…390$60$23.5K
    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…290$80$22.1K
    99204The 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…130$130$16.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…250$50$12.7K
    51703The bladder catheter CPT codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…80$130$10.4K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.150$70$10.3K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8779816501,130$30$61.7K
    878011540120$70$24.3K
    J9217960120$130$18.1K
    520006024090$170$17.6K
    9921413515,410110$80$15.6K
    84403174040$30$15.5K
    9949086230180$50$12.8K
    992153,3396,36040$120$8.9K
    992131,74513,70070$60$8.8K
    52356789020$410$8.7K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hesham MalikMADiagnostic Radiology Physician$3.9M$0
    James BleilerMAUrology Physician$941K$0
    Stephen GillardMAUrology Physician$755K$0
    Petronela IorgaMAAnatomic Pathology & Clinical Pathology Physician$633K$0
    Stanley KrausMAUrology Physician$449.4K$0
    Michael CurranMAUrology Physician$440K$0
    James FitzgeraldMAUrology Physician$422.1K$0
    Michael GeffinMAUrology Physician$409.3K$0
    Angel JohnsonMAGynecology Physician$381.6K$0
    Padraic MccahillMAUrology Physician$334.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wec Health, LLCMAFoster Care Agency$0$126.4M
    Advocates, Inc.MAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$83.5M
    Wayside Youth And Family Support NetworkMAMental Health Counselor$0$38.5M
    Advocates, Inc.MAAdult Care Home Facility$0$22.5M
    Elderly Home CareMAHome Health Agency$0$16.9M
    Variantyx IncMAClinical Medical Laboratory$0$8.6M
    Shields Mri Of Framingham, LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$570.3K$814.1K
    Pet-ct Services By Tufts Medical Center And Shields LLCMAMobile Radiology Clinic/Center$775.6K$12.2K
    Jill BeckerMAGeneral Practice Physician$147.7K$272.7K
    Lawrence YellenMADermatology Physician$60.3K$293.2K

    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. Massachusetts Distribution
    Michael Donovan — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts