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NPI 1124054010 · Normal, IL · Emergency Medical Services (Emergency Medicine) Physician
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Thomas Pliura is a emergency medical services (emergency medicine) physician provider located in Normal, Illinois. This profile covers 20 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Pliura |
| Address | Virginia & Franklin Streets |
| City | Normal |
| State | IL |
| ZIP | 61761 |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| NPI Enumerated | June 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $31.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 90 | $150 | $13.3K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 110 | $50 | $5.5K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 110 | $30 | $3.8K |
| 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… | 20 | $80 | $1.8K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 20 | $70 | $1.6K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 30 | $60 | $1.5K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 40 | $20 | $700 |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 20 | $20 | $460 |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 20 | $20 | $380 |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 10 | $30 | $370 |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99213 | 14,502 | 17,390 | 70 | $60 | $8.8K |
| 74176 | 848 | 950 | 80 | $70 | $6.3K |
| 93975 | 4 | 170 | 20 | $110 | $3.1K |
| 87426 | 13 | 360 | 20 | $30 | $2.4K |
| 76770 | 85 | 800 | 40 | $40 | $2.1K |
| 71046 | 1,172 | 1,490 | 100 | $10 | $2.1K |
| 76536 | 617 | 650 | 40 | $40 | $1.9K |
| 76700 | 146 | 350 | 20 | $50 | $1.9K |
| 73562 | 931 | 1,110 | 50 | $20 | $1.6K |
| 73502 | 1,282 | 1,390 | 50 | $20 | $1.5K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 15,950 | $40 | $558.3K |
| 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… | 8,250 | $50 | $396.1K |
| 99203 | The provider sees a new 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 provider… | 6,010 | $50 | $282.4K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 4,700 | $20 | $103.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 1,850 | $50 | $90.5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1,380 | $50 | $68.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 3,240 | $10 | $38.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 930 | $30 | $30.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 520 | $20 | $12K |
| 86769 | The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease… | 100 | $40 | $4K |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 86328 | The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2… | 18 | 30 | 110 | $40 | $95K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 29 | 180 | 160 | $40 | $50.6K |
| 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… | 455 | 14,190 | 280 | $20 | $38.9K |
| 86769 | The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease… | 27 | 60 | 90 | $40 | $35.4K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 86 | 890 | 90 | $40 | $35K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 4 | 910 | 110 | $30 | $14.4K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 60 | 930 | 60 | $40 | $12.2K |
| 86735 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to the mumps virus. | 27 | 40 | 100 | $10 | $11.5K |
| 0002A | N/A | 182 | 360 | 40 | $40 | $11.3K |
| 99203 | The provider sees a new 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 provider… | 18 | 3,270 | 80 | $40 | $11.1K |
Showing 1–10 of 21
Other providers in the same ZIP code as Thomas Pliura, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Abc Counseling & Family Services Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $2.9M |
| Pramern Sriratana | IL | Hematology & Oncology Physician | $1.9M | $514K |
| Dana Altenburger | IL | Anatomic Pathology & Clinical Pathology Physician | $44.2K | $2M |
| Mumtaz Siddiqui | IL | Cardiovascular Disease Physician | $371K | $1.2M |
| Hwan Jeong | IL | Hematology & Oncology Physician | $658.1K | $189.7K |
| Gastrointestinal Institute, LLC. | IL | Ambulatory Surgical Clinic/Center | $785.3K | $2.7K |
| Sumit Bhatia | IL | Retina Specialist (Ophthalmology) Physician | $644.4K | $6.1K |
| Stephen Matter | IL | Gastroenterology Physician | $217K | $355.1K |
| Naveed Yousuf | IL | Neuroradiology Physician | $208.7K | $230.4K |
| Pooria Javadi | IL | Diagnostic Radiology Physician | $114.7K | $269K |
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