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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Seales
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    Thomas Seales — Billing Profile & Reimbursement Data

    NPI 1104184951 · Fort Walton Beach, FL · Adult Reconstructive Orthopaedic Surgery Physician

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    Thomas Seales is a adult reconstructive orthopaedic surgery physician provider located in Fort Walton Beach, Florida. This profile covers 41 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
    OrganizationThomas Seales
    Address1034 Mar Walt Dr Unit 100
    CityFort Walton Beach
    StateFL
    ZIP32547
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedApril 30, 2012

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

    Payer SourceTotal Paid
    Medicare$631.2K
    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…90$1,030$92K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…80$1,030$77.5K
    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…1,110$70$71.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…660$70$43.6K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1,670$30$43.4K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…1,290$20$25.8K
    27134In this procedure, the provider removes a previously implanted artificial hip joint or prosthesis and replaces it with a new prosthesis. He replaces both the femoral and acetabular components. He may…20$1,260$25.1K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg4,800$10$24K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…680$30$22.4K
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…10$1,450$18.8K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744712879030$1,230$58.9K
    271304959030$1,150$43.6K
    J73267913040$400$28.5K
    9921413,49432,760140$90$25K
    971101,7353,870690$20$21.6K
    975303322,780370$20$18.9K
    27487203010$1,090$18.6K
    2713432020$1,090$18.5K
    J731810801,750$10$15.8K
    99458182320150$30$15.7K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin Memorial Medical Center IncFLGeneral Acute Care Hospital$0$26M
    Indian River Memorial Hospital IncFLGeneral Acute Care Hospital$0$9.3M
    Coastal Care CorporationFLRadiology Clinic/Center$2.7M$800
    Mcgregor LottFLOphthalmology Physician$1.8M$0
    Refat BaridiILHematology & Oncology Physician$1.7M$27.6K
    Caroline KedemFLDiagnostic Radiology Physician$1.4M$0
    Prasad ChalasaniFLCardiovascular Disease Physician$1.4M$0
    Felipe MartinezAZNuclear Medicine Physician$1.3M$0
    Amy EversoleFLCardiovascular Disease Physician$1.3M$0
    Joseph McclureFLMedical Oncology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Horizons Of Okaloosa County, Inc.FLDevelopmentally Disabled Services Day Training Agency$0$15.2M
    White-wilson Medical Center PAFLClinic/Center$0$12.7M
    Dynamic Pain & Wellness LLCFLAnesthesiology Physician$0$10.8M
    Patrick AnastasioFLInfectious Disease Physician$10.3M$0
    Fort Walton Beach Medical Center, Inc.FLGeneral Acute Care Hospital$0$10.3M
    Renal Care Group Of The Southeast, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.4M
    Sherri BartonFLFamily Nurse Practitioner$4.8M$0
    Yunhui HsiangFLMedical Oncology Physician$3.6M$1.3K
    Leo ChenFLOrthopaedic Surgery Physician$2.6M$0
    Jeffrey LinFLInfectious Disease Physician$2.2M$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. Florida Distribution
    Thomas Seales — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida