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NPI 1255344644 · Middletown, NY · Pain Medicine (Physical Medicine & Rehabilitation) Physician
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Thomas Booker is a pain medicine (physical medicine & rehabilitation) physician provider located in Middletown, New York. This profile covers 32 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Booker |
| Address | 95 Crystal Run Rd |
| City | Middletown |
| State | NY |
| ZIP | 10941 |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| NPI Enumerated | August 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $201.4K |
| Medicaid | $168K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 390 | $100 | $38.8K |
| 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… | 540 | $70 | $37.5K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4,500 | $10 | $22.5K |
| 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… | 100 | $130 | $13.1K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 110 | $120 | $13K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 60 | $190 | $11K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 140 | $70 | $10.1K |
| 99203 | The provider sees a new 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 provider… | 100 | $90 | $9.1K |
| 0275T | N/A | 10 | $470 | $5.2K |
| 64616 | The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical… | 30 | $180 | $5.1K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0480 | 30 | 30 | 170 | $110 | $76.5K |
| J0585 | 217 | 280 | 9,400 | $1 | $63.4K |
| 0275T | 27 | 30 | 20 | $2,170 | $60.8K |
| U0003 | 18 | 120 | 30 | $70 | $23.1K |
| 80307 | 72 | 120 | 70 | $60 | $23.1K |
| 64635 | 48 | 240 | 30 | $430 | $19.9K |
| 99214 | 4,177 | 30,450 | 90 | $100 | $19K |
| 64483 | 100 | 410 | 50 | $220 | $17.9K |
| 62323 | 345 | 390 | 50 | $190 | $15.4K |
| 64633 | 20 | 60 | 20 | $440 | $13.3K |
Showing 1–10 of 32
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,650 | $60 | $90.7K |
| 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… | 900 | $80 | $69.1K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 60 | $80 | $4.7K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 70 | $20 | $1.6K |
| 99203 | The provider sees a new 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 provider… | 10 | $110 | $1.5K |
| 99212 | The 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,… | 10 | $40 | $570 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 246 | 340 | 1,090 | $70 | $1.4M |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 215 | 300 | 1,710 | $20 | $458.6K |
| 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… | 5,303 | 19,110 | 360 | $70 | $321K |
| 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… | 4,356 | 16,550 | 220 | $90 | $186.8K |
| 99212 | The 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,… | 4,958 | 5,420 | 210 | $70 | $154.3K |
| 99203 | The provider sees a new 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 provider… | 4,201 | 4,700 | 130 | $100 | $136.6K |
Other providers in the same ZIP code as Thomas Booker, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Access: Supports For Living Inc | NY | Community/Behavioral Health Agency | $0 | $35M |
| Access: Supports For Living Inc | NY | Case Management Agency | $0 | $19.8M |
| Mdinr, LLC | NY | Physiological Laboratory | $2.7M | $464.1K |
| Crystal Run Ambulatory Surgery Center Of Middletown, LLC | NY | Ambulatory Surgical Clinic/Center | $1.3M | $661.1K |
| Victor Wu | NY | Diagnostic Radiology Physician | $527.2K | $428.1K |
| Balaji Pratap | NY | Cardiovascular Disease Physician | $834.5K | $26.2K |
| Anthony Caramico | NY | Diagnostic Radiology Physician | $468.8K | $334.3K |
| Ronen Harel | NY | Hematology & Oncology Physician | $681.5K | $89.8K |
| Jeffrey Stewart | NY | Hematology & Oncology Physician | $478.2K | $115K |
| John Fiorianti | NY | Vascular Surgery Physician | $443K | $147.4K |
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