Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Thomas Gilmore (NPI 1063654614)

Field	Value
Entity Type	Individual
Organization	Thomas Gilmore
Address	112 Mansfield Ave
City	Willimantic
State	CT
ZIP	06226
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 28, 2009

Payer Source	Total Paid
Medicare	$79.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	380	$150	$54.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	$100	$13.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	50	$180	$9K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	10	$120	$1.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	180	$10	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Thomas Gilmore — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	20	800	90	$140	$17.7K
99291	447	1,130	40	$180	$10.6K
99284	103	860	60	$90	$6.6K
93010	242	450	210	$10	$3K
99235	8	10	20	$120	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hartford Hospital	CT	General Acute Care Hospital	$0	$316.3M
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	General Acute Care Hospital	$0	$220M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hartford Healthcare Medical Group Specialists, PLLC	CT	Surgery Physician	$0	$46M
Trinity Health Of New England Provider Network Organization Inc	CT	Internal Medicine Physician	$0	$42M
Hartford Hospital	CT	Surgery Physician	$0	$27.5M
Hartford Healthcare Medical Group, Inc	CT	Surgery Physician	$0	$22.4M
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	Hospitalist Physician	$0	$22.2M
Franklin Medical Group, PC	CT	Internal Medicine Physician	$0	$13.5M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Windham Community Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$69.5M
Generations Family Health Center, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$61.8M
Northeast Emergency Medicine Specialists, LLC	CT	Emergency Medicine Physician	$0	$11.4M
Perception Programs Inc	CT	Substance Abuse Rehabilitation Facility	$0	$8.9M
Para-pharm Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$5.3M
Abi Resources LLC	CT	Developmentally Disabled Services Day Training Agency	$0	$3.3M
Town Of Windham	CT	Land Ambulance	$276.2K	$2.6M
Town Of Windham Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Tricounty Vision Associates, L.L.C.	CT	Optometrist	$0	$1.9M
Radianz Dental PC	CT	General Practice Dentistry	$0	$1.4M

Thomas Gilmore — Billing Profile & Reimbursement Data

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Thomas Gilmore — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References