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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

James Thomas (NPI 1114076429)

Field	Value
Entity Type	Individual
Organization	James Thomas
Address	375 Dixmyth Ave
City	Cincinnati
State	OH
ZIP	45220
Taxonomy	Psychiatry Physician
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicare	$70.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	480	$60	$30.3K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	360	$70	$23.6K
99443	N/A	110	$100	$10.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	120	$50	$6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

James Thomas — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90836	2	30	70	$60	$7.2K
99213	739	20,000	70	$50	$6.6K
90833	72	270	60	$50	$5.1K
99443	11	380	20	$70	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Bon Secours Medical Group Richmond Primary Care LLC	VA	Family Medicine Physician	$0	$15.1M
Tara Adhikari	OH	Rheumatology Physician	$1.6M	$0
Soha Mousa	OH	Rheumatology Physician	$979.7K	$0
Nelson Watts	OH	Endocrinology, Diabetes & Metabolism Physician	$878.7K	$0
Suresh Nayak	OH	Orthopaedic Surgery Physician	$362K	$0
Andrew Hearn	OH	Vascular Surgery Physician	$332.9K	$0
Humam Akbik	OH	Interventional Pain Medicine Physician	$264.4K	$0
Muhammad Gill	OH	Cardiovascular Disease Physician	$246.8K	$0
Jason Brown	OH	Orthopaedic Surgery Physician	$244.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Good Samaritan Hospital Of Cincinnati, Ohio	OH	General Acute Care Hospital	$0	$85.6M
Trihealth G LLC	OH	Internal Medicine Physician	$0	$31M
The Crossroads Center	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.1M
Trihealth H LLC	OH	Obstetrics Physician	$0	$12.5M
Robert Hutchins	OH	Ophthalmology Physician	$1.6M	$0
Jennifer Walker	OH	MOHS-Micrographic Surgery Physician	$312K	$0
David Huelsman	OH	Diagnostic Radiology Physician	$135.9K	$0
Stephen Whitlatch	OH	Specialist	$115.7K	$0
Christine Smith	OH	Physical Medicine & Rehabilitation Physician	$100.1K	$0
David Dow	OH	Diagnostic Radiology Physician	$95.1K	$0

James Thomas — Billing Profile & Reimbursement Data

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James Thomas — 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