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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Trumble (NPI 1114003837)

Field	Value
Entity Type	Individual
Organization	Thomas Trumble
Address	1200 112th Ave Ne Ste C210
City	Bellevue
State	WA
ZIP	98004
Taxonomy	Orthopaedic Hand Surgery Physician
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicare	$263.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

35 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…	320	$100	$32.9K
26520	In this procedure the provider releases joint contracture by either making an incision into or excising the joint capsule between the metacarpal and proximal phalanx of a hand.	50	$380	$17.9K
26449	In this procedure, the provider performs tenolysis, which releases the extensor tendon of the finger from adhesions. This surgical procedure is complex and extends from finger to forearm.	40	$350	$14.5K
25320	The provider reconstructs the wrist joint. He repairs the joint capsule and excises synovial membrane. He repairs ligaments and tendons as necessary, to restore the stability of the wrist, due to…	20	$650	$12.3K
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…	90	$130	$12.1K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	250	$50	$11.6K
64911	In this procedure, the provider uses an autogenous vein graft, which is a vein graft obtained from within the patient’s body, to repair a nerve.	10	$760	$10.6K
26593	In this procedure, the provider releases an intrinsic muscle of the hand from adhesions formed along the surface of a tendon after injury or repair. Intrinsic muscles of the hand include thenar or…	30	$300	$9.6K
26476	In this procedure, the provider lengthens the extensor tendon of a hand or finger to treat muscle contracture.	30	$300	$9.3K
26478	In this procedure, the provider lengthens the flexor tendon of a hand or finger to treat muscle contracture.	30	$330	$9.3K

Showing 1–10 of 35

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Thomas Trumble — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

35 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
26520	1	10	50	$380	$17.9K
29848	50	60	30	$470	$17.2K
26480	10	20	20	$720	$15.9K
26123	11	10	20	$930	$15.8K
14040	23	40	20	$530	$14.3K
99214	1,475	10,860	100	$80	$13.6K
25447	16	30	20	$640	$12.9K
25320	1	10	20	$650	$12.4K
26055	70	90	30	$310	$12.1K
26593	1	10	30	$300	$9.6K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aubrey Zechman	NC	Occupational Therapist	$12.7K	$0
Peter Peng	WA	Surgical Physician Assistant	$4.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Language Service, Inc.	WA	Contractor	$0	$103.7M
Overlake Medical Center & Clinics	WA	General Acute Care Hospital	$0	$16.6M
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Steve Kim	WA	Ophthalmology Physician	$3.4M	$20
David Saperstein	WA	Ophthalmology Physician	$3.3M	$100
Andrew Barloon	WA	Ophthalmology Physician	$2.7M	$20
Puget Sound Physicians PLLC	WA	Emergency Medicine Physician	$0	$2.5M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Charles Birnbach	WA	Ophthalmology Physician	$2.4M	$0
Todd Klesert	WA	Ophthalmology Physician	$2.1M	$0

Thomas Trumble — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References