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    OpenPayerNPI Medicare & MedicaidAnthony Thibodeaux
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    Anthony Thibodeaux — Billing Profile & Reimbursement Data

    NPI 1336147081 · Lafayette, LA · Obstetrics & Gynecology Physician

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    Anthony Thibodeaux is a obstetrics & gynecology physician provider located in Lafayette, Louisiana. This profile covers 16 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Thibodeaux
    Address4630 Ambassador Caffery Pkwy
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicare$131K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg3,900$20$70.2K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…170$60$10.4K
    74240The provider takes an imaging series of the upper gastrointestinal tract, including the esophagus, stomach, and the beginning of the small intestine, or duodenum using barium sulfate contrast. The…150$70$9.6K
    99204The 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…60$120$6.8K
    99213The 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…100$70$6.3K
    99203The provider sees a new 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 provider…60$90$5.3K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory100$40$4.2K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination100$40$3.8K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.170$20$3.3K
    70100The provider takes plain X–rays of the mandible (the lower jaw bone); he obtains one to three views as needed to diagnose a fracture or other abnormality.170$20$3.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089730703,120$20$105.6K
    992132,4266,06070$50$8.1K
    7424042020$60$5.4K
    992047893,19030$110$4.8K
    70100410190$20$4.2K
    71045307380330$10$3.8K
    992034352,10030$70$3K
    70360410110$20$2.4K
    G01012733030$30$1.5K
    7708021136050$20$1.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Francine ManuelLAFamily Medicine Physician$485.6K$0
    Charles SimmonsLAUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$159.4K$0
    George SobieskLAPodiatrist$143.9K$0
    Harold GrangerLAOrthopaedic Surgery Physician$119.3K$0
    George FullerLAObstetrics & Gynecology Physician$77.2K$0
    Michael MelanconLAPediatrics Physician$59.6K$0
    Dean KirbyLAFamily Medicine Physician$6.6K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Anthony Thibodeaux — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana