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    OpenPayerNPI Medicare & MedicaidGerald Thomas
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    Gerald Thomas — Billing Profile & Reimbursement Data

    NPI 1336361443 · Pontiac, MI · Surgical Physician Assistant

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    Gerald Thomas is a surgical physician assistant provider located in Pontiac, Michigan. This profile covers 13 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
    OrganizationGerald Thomas
    Address44555 Woodward Ave
    CityPontiac
    StateMI
    ZIP48341
    TaxonomySurgical Physician Assistant
    NPI EnumeratedMay 2, 2007

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

    Payer SourceTotal Paid
    Medicare$65.4K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…290$50$14.9K
    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…170$60$11.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…210$40$9K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…60$140$8.3K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.240$30$6.8K
    73565In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in…240$20$5.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.80$30$2.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…90$30$2.3K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$150$2.2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,000$1$1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475436030$1,470$50.1K
    2713018224020$1,410$40.8K
    992131,36614,81060$60$6.6K
    206101221,10050$50$4.1K
    2098584020$110$3.6K
    99203684,56030$70$3K
    9922150159020$60$1.9K
    7356216787040$20$1.1K
    7356514020$30$1K
    735022131,04040$20$1000

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Safa KassabMIAdult Reconstructive Orthopaedic Surgery Physician$239.2K$0
    Maher BahuMISports Medicine (Orthopaedic Surgery) Physician$163.7K$0
    Joseph WardMIOrthopaedic Surgery Physician$91.8K$0
    Robert HowardMIOrthopaedic Surgery Physician$42.6K$0
    Michael PointeMIPhysician Assistant$36.7K$0
    Kristine KonopkaMIAnatomic Pathology & Clinical Pathology Physician$36.1K$0
    Jessica SamuelsonMIFamily Nurse Practitioner$26.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Joseph Mercy Hospital-smhcMIGeneral Acute Care Hospital$0$51.8M
    Common GroundMICommunity/Behavioral Health Agency$0$44.5M
    Oakland Family ServicesMIClinic/Center$0$25.6M
    Sjmh Medical Practice-smhcMIInternal Medicine Physician$0$14.8M
    John AntonucciMIRadiation Oncology Physician$786.7K$0
    Michael GhilezanMIRadiation Oncology Physician$627.8K$0
    Frank ViciniMIRadiation Oncology Physician$609.1K$0
    Dilraj GhummanMIDiagnostic Radiology Physician$592K$0
    Arezo AmirikiaMIOphthalmology Physician$563.9K$0
    Larry KestinMIRadiation Oncology Physician$562.3K$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. Michigan Distribution
    Gerald Thomas — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan