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NPI 1316994049 · Worcester, MA · Internal Medicine Physician
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Thomas Patnaude is a internal medicine physician provider located in Worcester, Massachusetts. This profile covers 32 Medicare and 16 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 Patnaude |
| Address | 405 Grove St |
| City | Worcester |
| State | MA |
| ZIP | 01605 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $53.5K |
| Medicaid | $5.8K |
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… | 160 | $100 | $15.6K |
| 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… | 200 | $60 | $12.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 20 | $120 | $2.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 260 | $10 | $2.1K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 110 | $20 | $1.8K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 140 | $10 | $1.8K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 180 | $10 | $1.3K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 30 | $40 | $1.1K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 110 | $10 | $1K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 120 | $10 | $940 |
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 |
|---|---|---|---|---|---|
| 99214 | 5,615 | 15,410 | 110 | $80 | $15.6K |
| 83880 | 40 | 70 | 30 | $40 | $12K |
| 99215 | 4,612 | 6,360 | 40 | $120 | $8.9K |
| 99213 | 2,765 | 13,700 | 70 | $60 | $8.8K |
| 84443 | 176 | 650 | 50 | $20 | $8.2K |
| 80061 | 242 | 720 | 80 | $10 | $8.1K |
| 84153 | 164 | 210 | 30 | $20 | $6.2K |
| 85025 | 202 | 740 | 40 | $10 | $4.9K |
| 36415 | 569 | 2,130 | 110 | $10 | $4.6K |
| 84439 | 37 | 210 | 30 | $10 | $3.6K |
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.
16 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… | 30 | $80 | $2K |
| 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… | 30 | $50 | $1.3K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 30 | $10 | $330 |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 50 | $10 | $290 |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 30 | $10 | $290 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 50 | $10 | $280 |
| 82540 | The lab analyst measures the amount of creatine in a patient specimen. Creatine is a nitrogenous organic acid produced in the human body from amino acids. | 50 | $1 | $200 |
| 82310 | The lab analyst measures the calcium level, primarily on a serum sample. | 50 | $1 | $190 |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 30 | $10 | $180 |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 50 | $1 | $150 |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
16 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… | 4,224 | 5,040 | 200 | $70 | $209.5K |
| 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… | 4,516 | 5,300 | 230 | $60 | $164.5K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 159 | 190 | 1,240 | $10 | $137.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 335 | 410 | 820 | $1 | $95.7K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 167 | 180 | 870 | $1 | $43.4K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 125 | 130 | 680 | $1 | $40.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 240 | 300 | 250 | $1 | $34K |
| 86140 | The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein. | 103 | 100 | 1,360 | $1 | $24.3K |
| 82570 | The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 115 | 120 | 1,250 | $1 | $18.7K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 98 | 110 | 530 | $1 | $16.1K |
Showing 1–10 of 16
Other providers in the same ZIP code as Thomas Patnaude, ranked by combined Medicare and Medicaid revenue.
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