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NPI 1285626788 · Moon Township, PA · Orthopaedic Surgery Physician
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Derek Thomas is a orthopaedic surgery physician provider located in Moon Township, Pennsylvania. This profile covers 13 Medicare and 5 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 | Derek Thomas |
| Address | 725 Cherrington Pkwy |
| City | Moon Township |
| State | PA |
| ZIP | 15108 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | August 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $165.9K |
| Medicaid | $98.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 22633 | In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this… | 40 | $1,340 | $51K |
| 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… | 540 | $80 | $44.6K |
| 22840 | The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis. | 40 | $570 | $20.3K |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 330 | $40 | $11.6K |
| 22853 | The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides… | 40 | $180 | $7.9K |
| 63052 | At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression. | 40 | $190 | $7.1K |
| 63053 | At the same session as lumbar posterior interbody arthrodesis (joint fusion) and after the provider performs laminectomy, facetectomy, or foraminotomy on an initial vertebral segment for… | 40 | $160 | $6.8K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 220 | $30 | $6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4,200 | $1 | $4.2K |
| 22310 | The provider treats a fracture of the vertebral body, the main part of a vertebra, one of the interlocking bones of the spine, in a closed procedure without manipulation. He places a cast or brace to… | 10 | $240 | $3.1K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 22633 | 10 | 50 | 20 | $1,150 | $27.7K |
| 99214 | 1,521 | 23,230 | 100 | $80 | $14.5K |
| 22840 | 9 | 60 | 20 | $480 | $10.5K |
| 99213 | 20,888 | 22,370 | 70 | $60 | $7.7K |
| 22853 | 23 | 100 | 30 | $160 | $6.1K |
| 63052 | 9 | 40 | 20 | $170 | $4.1K |
| 63053 | 2 | 20 | 30 | $140 | $3.8K |
| 99203 | 3,660 | 7,330 | 30 | $70 | $3.5K |
| 22310 | 2 | 10 | 10 | $250 | $3K |
| 20552 | 2 | 210 | 30 | $30 | $1.5K |
Showing 1–10 of 13
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.
5 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… | 1,690 | $40 | $67.6K |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 690 | $20 | $15.2K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 550 | $30 | $14.2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 760 | $1 | $1.5K |
| 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… | 10 | $10 | $120 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,163 | 8,160 | 210 | $60 | $68.4K |
| 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… | 8,568 | 8,870 | 240 | $40 | $56.1K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 27 | 200 | 140 | $20 | $6.3K |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 1 | 30 | 50 | $30 | $4.4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 46 | 240 | 140 | $1 | $600 |
Other providers in the same ZIP code as Derek Thomas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tobii Dynavox LLC | PA | Durable Medical Equipment & Medical Supplies | $0 | $182.1M |
| Pantherx Specialty LLC | PA | Specialty Pharmacy | $0 | $7.7M |
| Three Rivers Endoscopy Center, Inc. | PA | Ambulatory Surgical Clinic/Center | $425.2K | $39.4K |
| Matthew Drakeley | PA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $339.6K | $0 |
| Robyn Marszalek | PA | Dermatology Physician | $97.3K | $0 |
| Samantha Debone | PA | Physician Assistant | $46.4K | $0 |
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