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    OpenPayerNPI Medicare & MedicaidThomas Pugh
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    Thomas Pugh — Billing Profile & Reimbursement Data

    NPI 1174679799 · Denver, CO · Radiation Oncology Physician

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    Thomas Pugh is a radiation oncology physician provider located in Denver, Colorado. This profile covers 15 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
    OrganizationThomas Pugh
    Address2777 Mile High Stadium Cir
    CityDenver
    StateCO
    ZIP80211
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$914.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,680$310$515.3K
    77014N/A1,700$100$171.8K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…50$1,510$69.6K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…430$160$67.7K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…450$70$32.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…50$380$17.8K
    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…60$180$10.3K
    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…70$130$8.3K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…130$50$6.9K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…50$130$6.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015210370$300$234K
    77014680490$50$32.9K
    77301246040$540$28K
    77427680130$150$27.3K
    77336120120$70$12.7K
    77338246040$210$11.6K
    84403204020$30$10K
    992151,0593,23040$110$8.1K
    77263377050$130$7.9K
    773005080170$30$7.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Physicians IncorporatedCOInternal Medicine Physician$0$190.8M
    Children's Hospital ColoradoCOChildren's Hospital$0$114.9M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    University Of Colorado Hospital AuthorityCOGeneral Acute Care Hospital$0$58.1M
    Unmc PhysiciansNEMulti-Specialty Clinic/Center$0$41.1M
    Johns Hopkins UniversityMDEmergency Medicine Physician$0$21.1M
    Children's Hospital ColoradoCOChildren's Hospital$0$17.8M
    University Physicians IncorporatedCOPediatrics Physician$0$7.8M
    Children's Hospital ColoradoCOChildren's Hospital$0$7.3M
    University Physicians IncorporatedCOClinical Medical Laboratory$0$6.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$9.1M
    Statlab Diagnostics, LLCCOClinical Medical Laboratory$100.2K$2.6M
    Cher, LLCCODiagnostic Radiology Physician$214.9K$1.7M
    Urology Surgery Center Of Colorado LLCCOAmbulatory Surgical Clinic/Center$1.6M$138K
    Brian SmithCOUrology Physician$217.1K$0
    Stephen RuyleCOUrology Physician$214K$0
    Julien DagenaisCOUrology Physician$116.8K$0
    Lauren AbramsCOUrology Physician$107.2K$0
    Daniel KaufmanCOUrology Physician$103.2K$0
    Elias HsuCOUrology Physician$92.4K$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. Colorado Distribution
    Thomas Pugh — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado