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    OpenPayerNPI Medicare & MedicaidAdeep Thumar
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    Adeep Thumar — Billing Profile & Reimbursement Data

    NPI 1245425495 · Berkeley Heights, NJ · Urology Physician

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    Adeep Thumar is a urology physician provider located in Berkeley Heights, New Jersey. This profile covers 38 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
    OrganizationAdeep Thumar
    Address1 Diamond Hill Rd
    CityBerkeley Heights
    StateNJ
    ZIP07922
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 11, 2007

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

    Payer SourceTotal Paid
    Medicare$233.7K
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…450$100$45.9K
    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…630$70$44.9K
    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…160$130$20.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…110$190$20.6K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…60$330$19.7K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$590$14.3K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.60$180$10.8K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg80$140$10.5K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$290$5.7K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$370$5.2K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005327256090$10$50.8K
    841536924090$20$28.6K
    85025519750120$10$24.2K
    992142,39013,640130$90$23.6K
    J9217101120130$130$22K
    841545810060$20$16.3K
    520006929070$190$15.5K
    5264841020$730$13.9K
    8004824425030$10$13.5K
    9921387114,090100$70$13.1K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amjad KhanNJAnatomic Pathology & Clinical Pathology Physician$796K$0
    Sandra AponteFLAnatomic Pathology & Clinical Pathology Physician$73.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John MccormickNJDiagnostic Radiology Physician$1.5M$0
    Michael WaxNJHematology & Oncology Physician$1.5M$0
    Hari NadimintiNJDermatology Physician$1.3M$0
    Summit Medical Group PANJAmbulatory Surgical Clinic/Center$1.1M$4.9K
    Lisa MillsNJMedical Oncology Physician$911.8K$0
    Jennifer ReederNJHematology & Oncology Physician$816.7K$0
    Eric MirskyNJOrthopaedic Surgery Physician$700.6K$0
    Lalitha AnandNJHematology & Oncology Physician$658.6K$0
    Molly GabelNJRadiation Oncology Physician$597.4K$0
    Vinnie ShahNJOphthalmology Physician$542.3K$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. New Jersey Distribution
    Adeep Thumar — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey