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    OpenPayerNPI Medicare & MedicaidThomas Lake
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    Thomas Lake — Billing Profile & Reimbursement Data

    NPI 1003881277 · Oakhurst, NJ · Colon & Rectal Surgery Physician

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    Thomas Lake is a colon & rectal surgery physician provider located in Oakhurst, New Jersey. This profile covers 24 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
    OrganizationThomas Lake
    Address255 Monmouth Rd
    CityOakhurst
    StateNJ
    ZIP07755
    TaxonomyColon & Rectal Surgery Physician
    NPI EnumeratedFebruary 21, 2006

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

    Payer SourceTotal Paid
    Medicare$196.7K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    44207The provider performs laparoscopic removal of part of the colon with connection of the colon to the rectum.20$1,580$31.5K
    15734The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.30$880$27.3K
    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…220$70$14.8K
    44145The provider surgically removes a portion of the colon and then connects an end of the remaining colon to the rectum to restore continuity.10$1,300$14.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$190$12K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…110$110$11.6K
    44120In this procedure, the provider removes a single affected segment of the small intestine and connects the remaining intestinal ends.20$730$10.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$160$8.3K
    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…70$110$7.8K
    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…50$150$6.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1573461020$850$27.2K
    992148,99313,640130$90$23.6K
    992333,4124,270110$100$22.5K
    992324,8586,220120$70$18.4K
    4420711010$1,180$15.4K
    4414511010$1,300$14.3K
    G010525528030$320$13.9K
    992133,86614,090100$70$13.1K
    4412021020$800$12.8K
    992151,7123,75040$140$12K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Glenn ParkerNJColon & Rectal Surgery Physician$112.7K$0
    Harrison CotlerNJSurgery Physician$52.3K$0
    Mark SchwartzNJSurgery Physician$51.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Laboratory Management, LLCNJClinical Medical Laboratory$5.5M$21.8M
    Ocean Surgical Pavilion, PCNJAmbulatory Surgical Clinic/Center$927K$0
    Sukrut DwivediNJInfectious Disease Physician$572.1K$0
    Thomas RichNJPodiatrist$533.4K$1.2K
    Aaron MorganNJDermatology Physician$505.2K$0
    Aleksey KretovNJInternal Medicine Physician$446.2K$0
    Reza AkhtarNJGastroenterology Physician$182.7K$0
    Ferris GinsbergNJDiagnostic Radiology Physician$180.9K$0
    Emmanuel BariasNJFamily Medicine Physician$156.7K$0
    Jeffrey MobilioNJPhysician Assistant$144.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Thomas Lake — 3 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey