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NPI 1053324129 · Hazard, KY · Internal Medicine Physician
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Thomas Karelis is a internal medicine physician provider located in Hazard, Kentucky. This profile covers 13 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Karelis |
| Address | 311 Roy Campbell Dr |
| City | Hazard |
| State | KY |
| ZIP | 41701 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | August 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1M |
| Medicare | $188.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 1,160 | $60 | $69.4K |
| 99213 | The 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… | 720 | $60 | $41.7K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 270 | $150 | $40.4K |
| 99214 | The 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… | 170 | $80 | $14.4K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 50 | $160 | $8.5K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 40 | $110 | $4.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 270 | $10 | $3.8K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 40 | $50 | $2.2K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 20 | $70 | $1.5K |
| 72128 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thoracic spine without using contrast material. | 20 | $50 | $880 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0481 | 24 | 80 | 130 | $150 | $37.8K |
| G0480 | 80 | 130 | 60 | $110 | $25.4K |
| 80307 | 8 | 230 | 150 | $60 | $20.4K |
| 99214 | 2,549 | 7,230 | 110 | $70 | $14.1K |
| 99213 | 157 | 7,250 | 80 | $50 | $7.7K |
| 27096 | 34 | 90 | 40 | $110 | $7.5K |
| 72125 | 165 | 200 | 50 | $30 | $2.5K |
| 72131 | 68 | 160 | 40 | $40 | $1.6K |
| 20552 | 30 | 50 | 30 | $30 | $1.1K |
| 99211 | 9 | 160 | 30 | $10 | $990 |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 12,540 | $30 | $313.4K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 1,160 | $150 | $172.5K |
| 99213 | The 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… | 6,430 | $30 | $167.2K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 540 | $260 | $140.9K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 1,130 | $80 | $85K |
| 99214 | The 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… | 1,780 | $40 | $69.5K |
| 99212 | The 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,… | 2,300 | $20 | $46.1K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 90 | $160 | $14.1K |
| 72192 | In this procedure, the provider performs computer tomographic (CT) imaging of the pelvis without using contrast. | 80 | $130 | $9.4K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 790 | $10 | $6.3K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 37 | 70 | 1,650 | $100 | $2M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 41 | 80 | 990 | $60 | $912.2K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 80 | 340 | 2,700 | $40 | $673.3K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 124 | 140 | 2,000 | $60 | $639.8K |
| 99213 | The 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… | 739 | 3,340 | 1,020 | $30 | $296K |
| 72125 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material. | 107 | 130 | 820 | $160 | $258.5K |
| 99214 | The 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… | 800 | 2,460 | 580 | $40 | $245K |
| 72131 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the lumbar spine without using contrast material. | 68 | 90 | 350 | $180 | $175.8K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 11 | 30 | 120 | $200 | $154.3K |
| J3490 | Unclassified drugs | 86 | 100 | 780 | $20 | $146.6K |
Showing 1–10 of 24
Other providers in the same ZIP code as Thomas Karelis, ranked by combined Medicare and Medicaid revenue.
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