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    OpenPayerNPI Medicare & MedicaidJoseph Thornton
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    Joseph Thornton — Billing Profile & Reimbursement Data

    NPI 1326242744 · Newark, DE · Plastic Surgery Physician

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    Joseph Thornton is a plastic surgery physician provider located in Newark, Delaware. This profile covers 22 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Thornton
    Address2600 Glasgow Ave Ste 107
    CityNewark
    StateDE
    ZIP19702
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedJune 11, 2007

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

    Payer SourceTotal Paid
    Medicare$240.2K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.60$650$37.6K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.50$590$31.2K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.30$770$25.4K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…40$590$22.5K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.30$870$21.6K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…30$710$20.6K
    14001The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to…30$640$18.4K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.30$550$14.8K
    99212The 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,…190$40$7.8K
    15220This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.10$590$7.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1430161050$900$89.4K
    1404171040$630$42.1K
    1402131040$540$28.9K
    1404091040$540$28K
    1406052030$560$22.2K
    1402021020$530$21.3K
    1526041020$690$19.3K
    13121142050$240$19.2K
    170004360350$40$15.9K
    13132172040$230$14.8K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicDEMental Illness Community Based Residential Treatment Facility$0$118.5M
    Community Systems, Inc.DEIntellectual & Developmental Disabilities Psychologist$0$96.7M
    Resources For Human Development Inc.DEIntellectual & Developmental Disabilities Psychologist$0$86M
    Epic Health Services (de), LLCDEHome Health Agency$0$33.7M
    Jay J Harris Dmd PCDEDentist$0$16.7M
    Elite Home Health Care IncDEIn Home Supportive Care Agency$0$14.8M
    Accredo Health Group IncDEPharmacy$0$10.2M
    Bear-glasgow Dental, LLCDEGeneral Practice Dentistry$0$8.2M
    Center For Child Development, IncorporatedDEPsychologist$0$4.9M
    Comfort Care At Home, Inc.DEHome Health Agency$0$4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Delaware Distribution
    Joseph Thornton — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware