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    OpenPayerNPI Medicare & MedicaidGary Thomas
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    Gary Thomas — Billing Profile & Reimbursement Data

    NPI 1043218316 · Hilton Head Island, SC · Hematology & Oncology Physician

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    Gary Thomas is a hematology & oncology physician provider located in Hilton Head Island, South Carolina. This profile covers 10 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
    OrganizationGary Thomas
    Address45 Hospital Center Cmns
    CityHilton Head Island
    StateSC
    ZIP29926
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$402K
    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.

    10 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…2,290$90$210.3K
    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…1,660$60$104.5K
    99215The provider sees an established 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…270$130$35.8K
    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…200$150$30.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,190$10$9.5K
    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…50$120$6.1K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…20$120$2.2K
    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…10$80$1.1K
    36591The provider collects a blood specimen from a completely implantable venous access device that he placed in a prior procedure.40$20$740
    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,…20$30$420

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214197,860160$80$23.2K
    99213487,690100$60$10.8K
    992151302,36040$120$9.3K
    992041,7734,52040$110$6.4K
    99205111,00030$150$5.8K
    992032,5452,97030$70$3.9K
    8502550810120$10$3.1K
    992121,4821,82030$30$2.5K
    38222376020$60$1.5K
    3659111030$20$510

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory HaidemenosSCHematology & Oncology Physician$279K$0
    Majd ChahinSCHematology & Oncology Physician$225.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Pediatric Dentistry, LLCSCPediatric Dentistry$0$13.8M
    Ash ServicesSCRehabilitation Clinic/Center$0$4.9M
    Outpatient Surgery Center Of Hilton HeadSCAmbulatory Surgical Clinic/Center$3.7M$896K
    Hilton Head Health System, L.P.SCGeneral Acute Care Hospital$0$4.4M
    Salerno Pediatric Care LLCSCPediatrics Physician$0$1.9M
    Carl BakerSCRetina Specialist (Ophthalmology) Physician$1.7M$6.9K
    Kidz Planet Pediatric Dentistry Hhi, PASCPediatric Dentistry$0$1.7M
    Stephen LutherSCInternal Medicine Physician$1.2M$0
    Peter LiggettSCRetina Specialist (Ophthalmology) Physician$1M$0
    Ravina BalchandaniSCCardiovascular Disease Physician$952.8K$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. South Carolina Distribution
    Gary Thomas — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina