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    OpenPayerNPI Medicare & MedicaidCarole Thomas
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    Carole Thomas — Billing Profile & Reimbursement Data

    NPI 1083666333 · Lumberton, NJ · Neurology Physician

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    Carole Thomas is a neurology physician provider located in Lumberton, New Jersey. This profile covers 11 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
    OrganizationCarole Thomas
    Address693 Main St
    CityLumberton
    StateNJ
    ZIP08048
    TaxonomyNeurology Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$100.2K
    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.

    11 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…270$100$26.4K
    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…90$170$15.7K
    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…110$140$15.4K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…190$80$14.4K
    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…60$140$8.1K
    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…40$140$6.1K
    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…70$70$4.8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…30$170$4.3K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…20$120$2.5K
    92540The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.20$100$1.9K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,17313,640130$90$23.6K
    992138,51814,090100$70$13.1K
    992157803,75040$140$12K
    992232,7074,98050$140$11.8K
    9388064788040$130$10.2K
    992042,1727,16040$130$6.5K
    992051321,97030$170$6.5K
    92546192040$120$5.8K
    9611667040$70$4.6K
    92540316030$90$3.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virtua Medical Group, PANJFamily Medicine Physician$0$48M
    Advocare, LLCNJPediatrics Physician$0$32.1M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Summit Surgical Center LLCNJAmbulatory Surgical Clinic/Center$484.7K$3.6M
    Steven BromleyNJNeurology Physician$2.9M$0
    Vijay SinghNJRheumatology Physician$1.7M$0
    Jennifer LincolnNJMedical Physician Assistant$1.1M$0
    Rajendra PatelNJCardiovascular Disease Physician$969.7K$0
    Richard DanielsNJVascular Surgery Physician$827.7K$5.4K
    Richa MishraNJRheumatology Physician$823.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oaks Integrated Care, IncNJDevelopmental Disabilities Clinic/Center$0$137M
    Creative Change CounselingNJAdolescent and Children Mental Health Clinic/Center$0$13.7M
    Oaks Integrated Care, IncNJMental Health Clinic/Center (Including Community Mental Health Center)$0$11.9M
    Burlington County Endoscopy Center LLCNJAmbulatory Surgical Clinic/Center$509.1K$847.2K
    Seth KellerNJNeurology Physician$122.2K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Carole Thomas — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey