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    OpenPayerNPI Medicare & MedicaidMatthew Mcdonald
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    Matthew Mcdonald — Billing Profile & Reimbursement Data

    NPI 1972917276 · Huntsville, AL · Orthopaedic Surgery Physician

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    Matthew Mcdonald is a orthopaedic surgery physician provider located in Huntsville, Alabama. This profile covers 9 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
    OrganizationMatthew Mcdonald
    Address4715 Whitesburg Dr Se
    CityHuntsville
    StateAL
    ZIP35802
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 13, 2014

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

    Payer SourceTotal Paid
    Medicare$50.8K
    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.

    9 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…320$60$20.2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.280$30$7K
    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…80$90$6.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.270$20$6.2K
    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…30$120$3.5K
    99203The provider sees a new 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 provider…50$70$3.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$120$2.4K
    29515The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg…10$50$700
    73552In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…30$20$600

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,5457,330120$80$16.8K
    992231,5882,14040$130$8.1K
    992137586,47080$50$7.9K
    992041,9813,75030$100$4.8K
    992036382,21030$70$3.1K
    736302752030$20$1.1K
    2951531020$40$630
    73610236020$20$570
    735525522020$10$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin WaldropALDiagnostic Radiology Physician$633.5K$0
    Eric JanssenALSports Medicine (Orthopaedic Surgery) Physician$396.2K$0
    Michael BrooksALDiagnostic Radiology Physician$340K$0
    Ryan AaronALPhysical Medicine & Rehabilitation Physician$337.6K$0
    Michael SmithALDiagnostic Radiology Physician$311.7K$0
    Aaron ColemanALDiagnostic Radiology Physician$297.3K$0
    Kristina DonovanALPain Medicine (Physical Medicine & Rehabilitation) Physician$270.1K$0
    Brett FranklinALOrthopaedic Surgery Physician$258.5K$0
    Matthew ClaytonALAdult Reconstructive Orthopaedic Surgery Physician$252.2K$0
    Curt FreudenbergerALOrthopaedic Surgery Physician$250.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kun ChenALRheumatology Physician$2M$0
    William ShergyALRheumatology Physician$2M$0
    Jennifer KiesslingALCardiovascular Disease Physician$820.4K$0
    Kelley SmithALInterventional Cardiology Physician$795.2K$0
    Jitesh KarALNeurology Physician$776.8K$0
    Deepak SreeALRheumatology Physician$764.8K$0
    Sadasiva KattaALCardiovascular Disease Physician$705.5K$0
    Elijah MitchamALRheumatology Physician$676.9K$0
    Christie ThomasALRheumatology Physician$641.5K$0
    Margaret MeehanALRheumatology Physician$641.1K$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. Alabama Distribution
    Matthew Mcdonald — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama