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NPI 1154327245 · Warwick, RI · Cardiovascular Disease Physician
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Edward Thomas is a cardiovascular disease physician provider located in Warwick, Rhode Island. This profile covers 19 Medicare and 4 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 | Edward Thomas |
| Address | 390 Toll Gate Rd |
| City | Warwick |
| State | RI |
| ZIP | 02886 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | June 23, 2005 |
| NPI Deactivated | March 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $138.2K |
| Medicaid | $50.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 410 | $90 | $38.2K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 460 | $60 | $27.3K |
| 92928 | The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a… | 50 | $440 | $21.2K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 80 | $180 | $14.2K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 80 | $100 | $8K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 850 | $10 | $5.1K |
| 99232 | The 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… | 80 | $60 | $5K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 390 | $10 | $4.2K |
| 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… | 30 | $130 | $3.4K |
| 93460 | The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right… | 10 | $280 | $3.4K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 5 | 70 | 220 | $80 | $17.5K |
| 92928 | 4 | 10 | 40 | $410 | $15.1K |
| 99214 | 131 | 1,950 | 100 | $80 | $11.7K |
| 99232 | 310 | 650 | 70 | $60 | $7.7K |
| 93458 | 1 | 20 | 30 | $180 | $7.1K |
| 99204 | 365 | 740 | 30 | $110 | $4.6K |
| 93460 | 5 | 10 | 10 | $270 | $4.1K |
| 99222 | 41 | 420 | 20 | $100 | $3.7K |
| 99231 | 183 | 210 | 40 | $40 | $2.5K |
| 93010 | 22 | 180 | 190 | $10 | $2.3K |
Showing 1–10 of 19
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 3,150 | $10 | $28.4K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 310 | $60 | $17.6K |
| 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… | 50 | $40 | $1.8K |
| 93227 | In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He… | 60 | $30 | $1.8K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 23 | 70 | 150 | $250 | $147K |
| 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… | 1,326 | 1,730 | 220 | $70 | $75.2K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 26 | 150 | 470 | $10 | $19.2K |
| 93227 | In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He… | 1 | 10 | 50 | $30 | $1.3K |
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