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    OpenPayerNPI Medicare & MedicaidStephanie Thomas
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    Stephanie Thomas — Billing Profile & Reimbursement Data

    NPI 1093071789 · Billings, MT · Family Medicine Physician

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    Stephanie Thomas is a family medicine physician provider located in Billings, Montana. This profile covers 13 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
    OrganizationStephanie Thomas
    Address32 Wicks Ln
    CityBillings
    StateMT
    ZIP59105
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 6, 2012

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

    Payer SourceTotal Paid
    Medicare$33.7K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…340$40$14.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…50$80$3.7K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…10$280$3.6K
    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…120$30$3.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$20$2.9K
    G0008Administration of influenza virus vaccine70$30$2.2K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$130$1.9K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…20$20$460
    G0009Administration of pneumococcal vaccine10$30$400
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…20$10$220

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148261,810100$70$12.4K
    G043912237090$90$10.7K
    992152378040$100$7.9K
    906946816040$70$7.7K
    9067713017020$280$7.5K
    G000813133050$30$3.4K
    99497576030$40$2.8K
    G0402216010$150$2.3K
    930009011030$10$920
    G000914218020$30$730

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scl Health Medical Group - Billings LLCMTClinic/Center$0$32.2M
    Scl Health MontanaMTGeneral Acute Care Hospital$0$13.5M
    Scl Health MontanaMTDurable Medical Equipment & Medical Supplies$0$2.7M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    Scl Health MontanaMTEmergency Care Clinic/Center$0$867.8K
    Scl Health MontanaMTOncology Clinic/Center$0$448.6K
    Jared HeatonUTMOHS-Micrographic Surgery Physician$447.3K$0
    Joshua HolsteadLAUrology Physician$389.5K$0
    Scl Health MontanaMTClinic/Center$0$385.9K
    Catherine BrignoniCANeurology Physician$328.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Option 1 Nutrition Solutions LLCMTDurable Medical Equipment & Medical Supplies$0$3.7M
    Trailhead Pediatric DentistryMTPediatric Dentistry$0$2.5M
    Heights Eyecare, Inc.MTOptometrist$0$1.4M
    Lasting Legacy Assisted Living, LLCMTAssisted Living Facility$0$1.2M
    J&j Caregivers, LLCMTAssisted Living Facility$0$1.1M
    Edgewood VistaMTAssisted Living Facility$0$853.6K
    Crossway IncorporatedMTMental Health Counselor$0$622.6K
    Mark S RosebushMTGeneral Practice Dentistry$0$572.4K
    Steven BiondichMTProfessional Counselor$0$530.3K
    Destination ZenMTProfessional Counselor$0$480.9K

    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. Montana Distribution
    Stephanie Thomas — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana