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.

Theerapol Prasertsuntarasai (NPI 1245373380)

Field	Value
Entity Type	Individual
Organization	Theerapol Prasertsuntarasai
Address	5609 114th St
City	Lubbock
State	TX
ZIP	79424
Taxonomy	Rheumatology Physician
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9312	Injection, rituximab, 10 mg	7,250	$60	$456.8K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	14,280	$30	$371.2K
J1602	Injection, golimumab, 1 mg, for intravenous use	9,150	$10	$91.5K
J0897	Injection, denosumab, 1 mg	3,360	$20	$60.5K
96413	Chemotherapy 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…	420	$100	$41.1K
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…	240	$90	$20.8K
99213	The 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…	310	$60	$17.4K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	30	$530	$17K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	450	$20	$9.5K
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…	50	$110	$5.4K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Theerapol Prasertsuntarasai — 2 of 16 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

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9312	3	20	3,830	$60	$248.5K
J1602	64	90	14,850	$10	$184.1K
J1745	2	110	2,660	$30	$90.6K
J0897	263	650	2,580	$20	$79.2K
J7327	61	130	30	$550	$23.3K
96413	92	810	150	$100	$19.7K
99214	9,235	32,500	110	$80	$17.6K
99213	3,601	29,790	70	$60	$8.4K
99204	5,481	16,380	30	$110	$5.6K
20610	1,122	2,480	60	$50	$5.5K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Ysasaga	TX	Ophthalmology Physician	$9.9M	$0
Ryan Rush	TX	Ophthalmology Physician	$9.7M	$0
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Antonio Aragon	TX	Ophthalmology Physician	$7.3M	$0
Aqeel Khan	IL	Psychiatry Physician	$2.2M	$3.5M
Brian Phelps	OK	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Constantine Saadeh	TX	Rheumatology Physician	$3.6M	$0
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$23.4M
Higher Expectations, LLC	TX	Home Health Agency	$0	$14.1M
Cataract & Surgical Center Of Lubbock LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$34.7K
Naga Bushan	TX	Rheumatology Physician	$1.9M	$0
Michel Shami	TX	Ophthalmology Physician	$1.9M	$0
James Calmes	TX	Rheumatology Physician	$733.9K	$0
Girish Vallabhan	TX	Urology Physician	$521.6K	$0
Timothy Khater	TX	Ophthalmology Physician	$481.9K	$0
Howard Beck	TX	Urology Physician	$465.8K	$0
Richard Henderson	TX	Internal Medicine Physician	$446.8K	$0

Theerapol Prasertsuntarasai — Billing Profile & Reimbursement Data

Sign up for Theerapol Prasertsuntarasai — Billing Profile & Reimbursement Data policy alerts

Theerapol Prasertsuntarasai — Billing Profile & Reimbursement Data

Sign up for Theerapol Prasertsuntarasai — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References