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

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

Andrew Thome (NPI 1326426925)

Field	Value
Entity Type	Individual
Organization	Andrew Thome
Address	2 Pond Park Rd Ste 102
City	Hingham
State	MA
ZIP	02043
Taxonomy	Orthopaedic Foot and Ankle Surgery Physician
NPI Enumerated	May 14, 2015

Payer Source	Total Paid
Medicare	$25.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	150	$70	$9.7K
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…	80	$100	$8K
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…	50	$120	$6.2K
29405	The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…	20	$60	$1.2K
Q4038	Cast supplies, short leg cast, adult (11 years +), fiberglass	20	$40	$740

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Andrew Thome — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,022	15,410	110	$80	$15.6K
99213	2,285	13,700	70	$60	$8.8K
99204	1,272	5,870	30	$120	$5.6K
29405	7	10	20	$60	$1.3K
Q4038	9	10	20	$40	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahshid Mohseni	MO	Endocrinology, Diabetes & Metabolism Physician	$595.8K	$0
Michael Ayers	MA	Orthopaedic Surgery Physician	$484.8K	$0
Ryan Nunley	MO	Adult Reconstructive Orthopaedic Surgery Physician	$469.2K	$0
Spencer Summers	FL	Adult Reconstructive Orthopaedic Surgery Physician	$428K	$0
Michael Marchetti	MA	Orthopaedic Surgery Physician	$323.4K	$0
Owen Mcconville	MA	Orthopaedic Surgery Physician	$319.2K	$0
John Kadzielski	MA	Orthopaedic Hand Surgery Physician	$278.9K	$0
Jeremy Gebhart	PA	Adult Reconstructive Orthopaedic Surgery Physician	$228.6K	$21.6K
Michael Geary	MA	Orthopaedic Surgery Physician	$247.8K	$0
Ilya Bendich	MO	Adult Reconstructive Orthopaedic Surgery Physician	$201.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Cesario	MA	Behavior Analyst	$0	$28.3M
New England Hospice Ii LLC	MA	Community Based Hospice Care Agency	$0	$23.8M
The Arc Of The South Shore, Inc	MA	Community/Behavioral Health Agency	$0	$13.3M
Greater Boston Aba Associates	MA	Behavior Analyst	$0	$11.4M
Road To Responsibility, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.9M
Road To Responsibility, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.8M
The Arc Of The South Shore, Inc.	MA	Supports Brokerage Agency	$0	$6.1M
Town Of Hingham	MA	Ambulance	$599.4K	$317.3K
Casey O'donnell	MA	Physical Medicine & Rehabilitation Physician	$406.9K	$0
Richard Strecker	MA	Ophthalmology Physician	$319.3K	$0

Andrew Thome — Billing Profile & Reimbursement Data

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Andrew Thome — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References