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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Clancy
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    Thomas Clancy — Billing Profile & Reimbursement Data

    NPI 1184681561 · Boston, MA · Surgery Physician

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    Thomas Clancy is a surgery physician provider located in Boston, Massachusetts. This profile covers 10 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationThomas Clancy
    Address75 Francis Street
    CityBoston
    StateMA
    ZIP02115
    TaxonomySurgery Physician
    NPI EnumeratedApril 28, 2006

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

    Payer SourceTotal Paid
    Medicare$118.7K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    48153In this procedure, the provider removes part of the pancreas and almost all of the duodenum. He connects the bile duct to the intestines, the duodenum to the jejunum, and the jejunum to a pancreatic…20$2,610$46.9K
    48150In this procedure, the provider removes most of the pancreas as well as the duodenum, part of the bile duct, and distal stomach with reconstruction and connection of the pancreas to the jejunum.10$2,660$29.3K
    99204The 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…120$120$15.1K
    99213The 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…110$70$8.4K
    99214The 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…70$90$6.3K
    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…30$150$4.9K
    44015The provider places a feeding tube into the jejunum and brings it out through an opening in the abdomen to provide the patient with nutritional support, typically to allow healing of the esophagus or…30$120$3.4K
    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…20$120$2.7K
    99212The 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,…20$50$850
    76998The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.20$50$820

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4815031010$2,610$44.3K
    4815311020$2,520$37.8K
    992149,72615,410110$80$15.6K
    992154,6126,36040$120$8.9K
    992134,96213,70070$60$8.8K
    992043565,87030$120$5.6K
    992058912,43030$160$5.5K
    4401511030$120$3.4K
    992121,9762,66030$40$2.4K
    76998122020$50$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dana-farber Cancer Institute, Inc.MAGeneral Acute Care Hospital$0$240.4M
    Jennifer ByerMAMedical Oncology Physician$3.5M$0
    Jochen LorchILHematology & Oncology Physician$1M$21.7K
    Shalini MoningiOHRadiation Oncology Physician$723.2K$0
    Charles KaufmanMOMedical Oncology Physician$501.1K$0
    Daphna SpiegelMARadiation Oncology Physician$460.8K$0
    John ChiMANeurological Surgery Physician$444.6K$0
    Monica KrishnanMARadiation Oncology Physician$340.4K$0
    Theodore HongMARadiation Oncology Physician$321.8K$0
    Graeme SteeleMAUrology Physician$289.7K$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. Massachusetts Distribution
    Thomas Clancy — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts