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    OpenPayerNPI Medicare & MedicaidNicole Thomas
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    Nicole Thomas — Billing Profile & Reimbursement Data

    NPI 1225299050 · Fairfax, VA · Rheumatology Physician

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    Nicole Thomas is a rheumatology physician provider located in Fairfax, Virginia. This profile covers 55 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
    OrganizationNicole Thomas
    Address8270 Willow Oaks Corporate Dr Ste 150
    CityFairfax
    StateVA
    ZIP22031
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 24, 2008

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

    Payer SourceTotal Paid
    Medicare$905.8K
    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg15,000$20$270K
    J3262Injection, tocilizumab, 1 mg28,200$10$141K
    J3111Injection, romosozumab-aqqg, 1 mg14,070$10$112.6K
    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…710$110$74.7K
    J1602Injection, golimumab, 1 mg, for intravenous use6,450$10$71K
    J1745Injection, infliximab, excludes biosimilar, 10 mg1,920$30$49.9K
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg1,240$30$34.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…210$130$26.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.320$70$23K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…950$20$16.1K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3262122075,870$1$383.3K
    J174533304,540$30$200.2K
    J3111222019,740$10$190.2K
    J1602192013,430$10$176.7K
    J0897323402,820$20$89.3K
    Q51049101,390$30$53.5K
    96413110230250$100$28.5K
    86235310460$20$23.8K
    992141,03912,890140$80$21K
    86160410220$10$15.7K

    Showing 1–10 of 55

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alan MatsumotoMDRheumatology Physician$2.2M$0
    Emma DiiorioMDRheumatology Physician$2.1M$0
    Grant LouieMDRheumatology Physician$2.1M$0
    David WolfeMDRheumatology Physician$1.4M$0
    Nitasha KumarMDRheumatology Physician$1.2M$0
    Jeffrey PotterMDRheumatology Physician$1.1M$0
    Rami EltaraboulsiMDRheumatology Physician$1.1M$0
    Rachel KaiserMDRheumatology Physician$1M$0
    Ashley BeallMDRheumatology Physician$1M$0
    Guada Respicio DuqueMDRheumatology Physician$969.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Kind & Caring Home Care,llcVAHome Health Agency$0$35.7M
    Alpha Home Care Services LLCVAHome Health Agency$0$32.2M
    Community Living Alternatives, Corp.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$31M
    Gateway Healthcare Services LLCVAHome Health Agency$0$22.1M
    Praise Home Health Services, IncVAHome Health Agency$0$22M
    Grace Home Healthcare, LLCVAHome Health Agency$0$20.5M
    Aloha Home Healthcare Services,llcVAHome Health Agency$0$13.1M
    Precious Care At Home Services IncVAHome Health Aide$0$12.5M
    Inova Health Care ServicesVAClinical Medical Laboratory$5.4M$6.8M
    Pediatric Specialists Of Virginia, LLCVAPediatrics Physician$0$11.3M

    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. Virginia Distribution
    Nicole Thomas — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia