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    OpenPayerNPI Medicare & MedicaidCarrie Thomas
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    Carrie Thomas — Billing Profile & Reimbursement Data

    NPI 1104464551 · Virginia Beach, VA · Adult Health Nurse Practitioner

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    Carrie Thomas is a adult health nurse practitioner provider located in Virginia Beach, Virginia. This profile covers 7 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
    OrganizationCarrie Thomas
    Address1200 Atlantic Shores Dr
    CityVirginia Beach
    StateVA
    ZIP23454
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedDecember 17, 2019

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

    Payer SourceTotal Paid
    Medicare$101.5K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…650$70$44.6K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…270$100$27.2K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.180$90$15.6K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…220$50$10.6K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…110$20$2.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$50$800
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…10$30$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309211790260$70$37K
    99308292650180$50$18.9K
    993105239070$110$14.1K
    9949762274040$60$5.1K
    99316827040$90$5K
    G0317124050$20$2.2K
    G01799810030$30$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Huy TranVAInternal Medicine Physician$374.4K$0
    Rocco BascianoVAGeriatric Medicine (Internal Medicine) Physician$279.8K$0
    Nikhila NagavelliVAInternal Medicine Physician$267.7K$0
    Paul JohnstoneVAAdult Medicine Physician$216.9K$0
    Amir HajimomenianVAInternal Medicine Physician$199.7K$17K
    Sarala KrishnagiriVAInternal Medicine Physician$212.8K$0
    Nabil TadrosVAInternal Medicine Physician$182.1K$9.5K
    Stephanie GrimaldiCTPhysician Assistant$161.3K$110
    Leena KhannaVAInternal Medicine Physician$121.8K$2.3K
    Ameanthea Blanco-knezovichVAFamily Nurse Practitioner$112.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$52.3M
    First Hospital Corporation Of Virginia BeachVAPsychiatric Hospital$0$22.4M
    Sellati & Co., Inc.VAMethadone Clinic$0$5.6M
    Lawrence ChangVADermatology Physician$2.4M$0
    Eye Surgery Limited LLCVAAmbulatory Surgical Clinic/Center$2.1M$155.7K
    Michael CannonVASpecialist$1.7M$0
    Janice SherwoodVARheumatology Physician$1.4M$0
    Virginia Beach Ambulatory Surgery CenterVAAmbulatory Surgical Clinic/Center$240.6K$797K
    Aris DelianidesVAOphthalmology Physician$644.6K$11.2K
    Steven CronquistVAMOHS-Micrographic Surgery Physician$573.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Carrie Thomas — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia