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

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

William Thornton (NPI 1184666356)

Field	Value
Entity Type	Individual
Organization	William Thornton
Address	2191 Nw Military Hwy
City	San Antonio
State	TX
ZIP	78213
Taxonomy	Ophthalmic Plastic and Reconstructive Surgery Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$22.2K
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
67973	The provider performs reconstruction of the entire surface area of a lower eyelid, extending all the way through the tissue, to correct damage to the eyelid, improving cosmetic appearance and…	10	$910	$10.9K
67974	The provider performs reconstruction of the entire surface area of an upper eyelid, extending all the way through the tissue, to correct damage to the eyelid, improving cosmetic appearance and…	10	$680	$8.9K
99205	The 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…	10	$160	$2.1K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	20	$20	$370

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. Texas Distribution

William Thornton — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67973	1	10	10	$910	$10.9K
67974	1	10	10	$680	$8.9K
99205	3,663	4,320	30	$150	$5.5K
92285	204	280	40	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Texas Health Science Center At San Antonio	TX	Internal Medicine Physician	$0	$35.5M
Sean Sumsion	CA	Ophthalmology Physician	$2.3M	$0
Maria Stephanie Jardeleza	NC	Ophthalmology Physician	$1.4M	$0
Jennifer Gallagher	TX	Ophthalmology Physician	$1.3M	$0
Calvin Brown	MS	Ophthalmology Physician	$1.2M	$0
Hamzah Khalaf	TX	Ophthalmology Physician	$915.1K	$0
Devalingam Mahalingam	IL	Medical Oncology Physician	$783.4K	$31.9K
Isaac Zoch	TX	Pain Medicine (Anesthesiology) Physician	$685.1K	$0
San Antonio Eye Center, PA	TX	Ambulatory Surgical Clinic/Center	$564.1K	$8.9K
Wieslaw Furmaga	TX	Anatomic Pathology & Clinical Pathology Physician	$557.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cms Primary Home Care, Inc	TX	Personal Care Attendant	$0	$29.7M
Bexar County Board Of Trustees For Mental Health Mental Retardation	TX	Counselor	$0	$25.4M
Mark Pinson Dba Best Care Home Health	TX	Home Health Agency	$0	$14.8M
Yurii Borshch	TX	Anesthesiology Physician	$439.5K	$0
Jorge Guerrero	TX	Physical Therapist	$397.8K	$0
Geetanjali Sharma	TX	Counseling Psychologist	$118.2K	$0

William Thornton — Billing Profile & Reimbursement Data

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William Thornton — 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