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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Willcox (NPI 1093735789)

Field	Value
Entity Type	Individual
Organization	Thomas Willcox
Address	925 Chestnut St
City	Philadelphia
State	PA
ZIP	19107
Taxonomy	Otolaryngology Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$61.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	280	$70	$20.6K
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…	270	$50	$13.1K
99204	The 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…	130	$90	$12.4K
99203	The 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…	70	$50	$3.9K
69220	The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.	100	$40	$3.8K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	120	$20	$2.9K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	10	$120	$1.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	30	$50	$1.5K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	30	$50	$1.3K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	80	$10	$550

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

Claims Volume vs. Pennsylvania Distribution

Thomas Willcox — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31231	250	320	60	$130	$15K
99214	4,678	23,230	100	$80	$14.5K
99213	2,822	22,370	70	$60	$7.7K
31575	290	380	60	$90	$6.6K
99204	459	10,290	30	$110	$5K
99203	1,374	7,330	30	$70	$3.5K
69433	28	50	20	$160	$2.8K
69210	165	690	30	$30	$2.8K
69220	1	20	20	$50	$1.7K
92504	23	80	50	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Mcgettigan	PA	Otolaryngology Physician	$283.2K	$0
Kyle Fisher	PA	Otolaryngology Physician	$245.3K	$0
Joseph Spiegel	PA	Otolaryngology Physician	$169.4K	$0
Joseph Curry	PA	Otolaryngology Physician	$160.5K	$0
Marc Rosen	PA	Otolaryngology Physician	$136.4K	$0
Gurston Nyquist	PA	Otolaryngology Physician	$116.7K	$0
Elina Toskala	PA	Otolaryngic Allergy Physician	$103K	$0
David Rosen	PA	Otolaryngology Physician	$100.4K	$0
Mauritis Boon	PA	Otolaryngology Physician	$92.9K	$0
Colin Huntley	PA	Sleep Medicine (Otolaryngology) Physician	$81.8K	$0

Thomas Willcox — Billing Profile & Reimbursement Data

Sign up for Thomas Willcox — Billing Profile & Reimbursement Data policy alerts

Thomas Willcox — Billing Profile & Reimbursement Data

Sign up for Thomas Willcox — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References