Physician

Denise M Donahue, M.D.

According to 2025 Medicare claims, Denise Donahue, M.D. (NPI: 1518091867) practices general practice in the Reading, PA market, with the plurality of this provider's patient population coming from Berks, PA. This provider's primary affiliated billing organization is BERKS ORTHO LLC (NPI: 1992594709; TIN: 333530857) and primary practice location at 19611-1493.

Donahue's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 139 traditional Medicare patients, billed 945 HCPCS/CPT codes, and received $39,294 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). 2023 Part D data shows 12 prescription claims across 11 beneficiaries totaling $179 in drug costs. 2023 DME data shows 542 claims. Open Payments data shows 1 records totaling $31. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $1,604 to $39,294. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$23K$45K2015 Medicare payment: $1,604 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $29,996 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $45,179 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $16,776 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $37,572 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $35,957 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $43,984 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $39,294 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151640$1,604
2016N/RN/RN/R
2017N/RN/RN/R
2018205883$29,996
20192801,375$45,179
2020109588$16,776
2021159869$37,572
2022129943$35,957
20231751,015$43,984
2024139945$39,294

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$276$5512019 Drug cost: $551 (USD; Tot_Drug_Cst)2022 Drug cost: $410 (USD; Tot_Drug_Cst)2023 Drug cost: $179 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R13$551
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R12$410
20231112$179
2024N/RN/RN/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.2M$2.4M2023 Medicare payment: $2,366,362 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023539542$2,366,362
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5858$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6486$89
20611Aspiration and/or injection of fluid large joint using ultrasound guidance72122$80
20610Aspiration and/or injection of fluid from large joint2838$47
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg88398$1

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$31Stryker Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Denise M. Donahue, M.D.?

Tedicare shows public-source Medicare data for Denise M. Donahue, M.D. (NPI 1518091867), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Denise M. Donahue, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Denise M. Donahue, M.D.?

Denise M. Donahue, M.D. is linked to BERKS ORTHO LLC (billing NPI 1992594709) in the available physician profile data.

Does Denise M. Donahue, M.D. have Open Payments data?

Denise M. Donahue, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.