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.

Darcy Thomas (NPI 1336355494)

Field	Value
Entity Type	Individual
Organization	Darcy Thomas
Address	58-60 Medford St
City	Arlington
State	MA
ZIP	02474
Taxonomy	Family Medicine Physician
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicare	$31.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	220	$70	$14.9K
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…	170	$80	$12.7K
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…	40	$90	$3.1K
99203	The 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…	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Darcy Thomas — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98929	9	20	200	$60	$17.5K
99214	12,268	15,410	110	$80	$15.6K
99213	3,452	13,700	70	$60	$8.8K
99203	3,214	4,290	30	$80	$4.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhealth Corporation	MA	Community Health Clinic/Center	$0	$17M
Boston University Medical Center Radiologists, Inc.	MA	Diagnostic Radiology Physician	$0	$12.8M
Peter Lou	MA	Ophthalmology Physician	$371.5K	$0
Margaret Chapman	WA	Neuroradiology Physician	$291.6K	$8.8K
Ajay Singh	PA	Diagnostic Radiology Physician	$290.3K	$6K
Nikolaos Michalacos	MA	Internal Medicine Physician	$251.5K	$0
Michael Fishman	MA	Diagnostic Radiology Physician	$183.3K	$2K
David Berger	MA	Surgery Physician	$177.7K	$0
Matthew Maeder	NH	Diagnostic Radiology Physician	$165.4K	$0
Logan Frank	MO	Diagnostic Radiology Physician	$152.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Armstrong Ambulance Service	MA	Ambulance	$4.6M	$12.4M
Town Of Arlington	MA	Land Ambulance	$338.9K	$581.6K
Hetal Verma	MA	Diagnostic Radiology Physician	$41.5K	$178.3K

Darcy Thomas — Billing Profile & Reimbursement Data

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Darcy Thomas — 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