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    OpenPayerNPI Medicare & MedicaidDavid Thomas
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    David Thomas — Billing Profile & Reimbursement Data

    NPI 1104870146 · Glen Mills, PA · Neurology Physician

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    David Thomas is a neurology physician provider located in Glen Mills, Pennsylvania. This profile covers 16 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
    OrganizationDavid Thomas
    Address1788 Wilmington Pike
    CityGlen Mills
    StatePA
    ZIP19342
    TaxonomyNeurology Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$477.3K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…1,260$80$102.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,470$70$97K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…620$100$61K
    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…350$130$46.6K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…350$100$35.5K
    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…300$90$28.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.180$140$24.6K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…720$30$23.7K
    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…120$160$18.8K
    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…100$140$14.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091,5681,660170$80$27.4K
    992144,15223,230100$80$14.5K
    992331566,63070$90$12K
    961331100100$70$10.4K
    992325910,87080$60$9.6K
    992151767,17040$120$8.6K
    992231,1197,02040$130$7.8K
    9921319,65522,37070$60$7.7K
    907913055020$110$5.8K
    96132314040$90$5.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elizabeth MerryfieldPAPsychologist$144.9K$0
    Zachariah FishoffPAGerontology Nurse Practitioner$100.4K$20.5K
    Michelle ManasseriDEClinical Psychologist$76.3K$0
    Kathleen LazarDEClinical Psychologist$55.1K$0
    Jennifer DaveNJClinical Neuropsychologist$42.5K$0
    Gregory SeidelPAClinical Neuropsychologist$23K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arum Healthcare ServicesPAHome Health Agency$0$12.5M
    Nehal GandhiPARheumatology Physician$8M$0
    Barry JacobsonPAObstetrics & Gynecology Physician$3M$0
    Anthony RooklinPAAllergy & Immunology Physician$1.3M$0
    Eric SmithPAOrthopaedic Surgery Physician$430.7K$0
    Kari BoucherPADermatology Physician$312.2K$0
    Sarah TonelliPADermatology Physician$302.6K$0
    Robin ScheinerPADermatology Physician$286K$0
    Lisa CarrollPADermatology Physician$258.7K$0
    John LukschPASports Medicine (Family Medicine) Physician$239.1K$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. Pennsylvania Distribution
    David Thomas — 7 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania