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 Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

Thomas Mulhearn (NPI 1285789008)

Field	Value
Entity Type	Individual
Organization	Thomas Mulhearn
Address	600 Dr Michael Debakey Dr
City	Lake Charles
State	LA
ZIP	70601
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue is $1.1M while there is no Medicaid billing on file, and the NPI has been enumerated since 2007-01-24 (~19 years ago), indicating a long-established Medicare-facing practice with no recorded Medicaid activity. The tenure suggests stable participation in Medicare but no engagement with state Medicaid in the available data.

Revenue is concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes account for 45.5% of this provider's total Medicare revenue, led by 78431 ($237K, 22.9%), 99214 ($128.2K, 12.4%), and A9555 ($106.8K, 10.3%). This concentration implies that a few high-yield services (primarily imaging and high-volume office visits) drive nearly half of Medicare receipts.

The code mix points to a practice built around advanced cardiac imaging and outpatient management. High-revenue nuclear cardiology codes such as 78431 (141 claims, $1681 avg paid/claim, $237K revenue) and the radiopharmaceutical A9555 (165 claims, $647 avg paid/claim, $106.8K revenue) together support an on‑site PET/perfusion imaging capability, while 93306 (781 claims, $112 avg paid/claim, $87.5K revenue) shows substantial transthoracic echo volume.

Office-based management activity is unusually high: 99214 shows 1.4K claims, $90 avg paid/claim and $128.2K revenue and is labeled an "extreme outlier, far above typical national volume for this code" (ranks #4229 of 479517, 99th percentile). This suggests a large or very active outpatient panel with frequent moderate-complexity follow-up visits that materially contribute to Medicare revenue.

Remote physiologic monitoring is a clear operational focus. The provider billed 99457 (1.9K claims, $35 avg paid/claim, $64.8K revenue) and 99454 (1.4K claims, $33 avg paid/claim, $47.8K revenue), both described as "notably above typical national volume," while 99458 (1.7K claims, $29 avg paid/claim, $48.9K revenue) is listed as "typical, unremarkable volume" in the supplied descriptors; collectively these RPM codes represent a meaningful share of Medicare revenue and indicate an established remote-monitoring program.

The provider also reports select interventional and structural procedure billing at low volume, indicating occasional procedural capability rather than a procedure-first practice. Codes such as 33340 (17 claims, $600 avg paid/claim, $10.2K revenue), 33361 (14 claims, $592 avg paid/claim, $8.3K revenue), and 92928 (14 claims, $427 avg paid/claim, $6K revenue) each account for roughly 1% or less of Medicare revenue, consistent with infrequent structural/interventional work.

Competitive standing is mixed by service line: for several imaging and monitoring codes the provider ranks well above peers (93356 is an "extreme outlier" at 460 claims, $25 avg, $11.5K revenue, 99th percentile; 93306 is "notably above typical" at 781 claims, $87.5K revenue, 96th percentile), while core nuclear PET 78431 is described as "typical, unremarkable volume" (141 claims, $237K revenue, 84th percentile) and A9555 is also typical (165 claims, $106.8K revenue, 62th percentile). This pattern indicates relative national prominence in advanced echocardiography and RPM but only typical positioning in PET perfusion compared with peers.

Operational and payer implications: given the high concentration in a few imaging and E/M codes and the substantial RPM billing, payers should view this provider as an outpatient-focused cardiology practice with integrated remote-monitoring services and on-site advanced echocardiography capacity. Management strategies could prioritize utilization review and care‑coordination oversight around high-volume E/M (99214) and RPM codes, while acknowledging that nuclear cardiology and occasional structural procedures contribute materially but are not dominant compared with the top E/M and monitoring activity.

Medicare: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	140	$1,680	$237K
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…	1,420	$90	$128.2K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	170	$650	$106.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	780	$110	$87.5K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	120	$590	$73.7K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	1,850	$40	$64.8K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	1,690	$30	$48.9K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,450	$30	$47.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	300	$130	$38K
J2785	Injection, regadenoson, 0.1 mg	650	$40	$27.9K

Showing 1–10 of 54

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Thomas Mulhearn — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

54 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	8	30	50	$1,370	$158.9K
78492	46	50	100	$1,080	$123.4K
A9555	25	60	130	$540	$75.1K
93306	11	390	200	$90	$22.2K
93229	1	60	30	$580	$18.7K
99214	58	6,670	110	$80	$16.5K
J2785	31	150	220	$40	$16K
33340	14	20	20	$600	$13.8K
99490	361	390	190	$40	$13.5K
99232	1,883	2,580	90	$60	$13.3K

Showing 1–10 of 54

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Calcasieu Cameron Hospital Service District	LA	General Acute Care Hospital	$0	$12.3M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$11.8M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$10.2M
Charles Wykoff	TX	Ophthalmology Physician	$6.2M	$0
Matthew Benz	TX	Ophthalmology Physician	$5.7M	$0
David Brown	TX	Ophthalmology Physician	$5.7M	$0
Tien Wong	TX	Ophthalmology Physician	$4.5M	$0
Jay Wang	FL	Medical Oncology Physician	$4.5M	$0
Joseph Sedrak	TX	MOHS-Micrographic Surgery Physician	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Louisiana Hospital Association Inc	LA	General Acute Care Hospital	$0	$42.9M
Swla Center For Health Services	LA	Federally Qualified Health Center (FQHC)	$0	$33.2M
Children's Clinic Of Southwest Louisiana, Inc.	LA	Pediatrics Physician	$0	$24M
Heaven-on-earth Network, Inc.	LA	Personal Care Attendant	$0	$20.5M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$16.8M
The Pathology Laboratory, Inc.	LA	Clinical Medical Laboratory	$1.6M	$13.7M
All About You Home Healthcare Inc	LA	In Home Supportive Care Agency	$0	$11.3M
Professional Emergency Medicine Management -- Lake Charles LLC	LA	Emergency Medicine Physician	$0	$10.8M
Compassionate Covenant Adult Day Health Care Inc.	LA	Adult Day Care Clinic/Center	$0	$10.6M
Sound Physicians Emergency Medicine Of Louisiana Inc	LA	Emergency Medicine Physician	$0	$9M

Thomas Mulhearn — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References