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    OpenPayerNPI Medicare & MedicaidKelly Thomas
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    Kelly Thomas — Billing Profile & Reimbursement Data

    NPI 1336539857 · Sheridan, WY · Family Nurse Practitioner

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    Kelly Thomas is a family nurse practitioner provider located in Sheridan, Wyoming. This profile covers 20 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
    OrganizationKelly Thomas
    Address1401 W 5th St
    CitySheridan
    StateWY
    ZIP82801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 4, 2015

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

    Payer SourceTotal Paid
    Medicare$68.3K
    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.

    20 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…850$50$39.7K
    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…210$50$11.3K
    99214The 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…120$60$7.4K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…40$50$2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…50$40$1.8K
    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…20$80$1.7K
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…60$10$830
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.90$10$740
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…40$20$630
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.30$20$550

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214332780100$80$14.8K
    9921317850110$60$9.9K
    9920421134030$110$5K
    99203938030$70$3.3K
    364158520070$10$1.6K
    69210194030$30$1.4K
    8742895020$50$1.4K
    87426104030$30$1.2K
    710464511030$10$1K
    930007111030$10$910

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hospital Of Sheridan CountyWYGeneral Acute Care Hospital$0$989.7K
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Big Horn Health NetworkWYInternal Medicine Physician$0$452.4K
    Alexander HarvinIADiagnostic Radiology Physician$353.1K$0
    Travis PetreeNDDiagnostic Radiology Physician$275.7K$0
    Scott WhiteILDiagnostic Radiology Physician$264.9K$0
    Juli AckermanWYInternal Medicine Physician$264.6K$0
    Sean FeinbergILDiagnostic Radiology Physician$243.7K$0
    Andrew CiccarelliMADiagnostic Radiology Physician$220.1K$0
    David WalkerWYInternal Medicine Physician$193.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Normative Services, Inc.WYEmotionally Disturbed Childrens' Residential Treatment Facility$0$8.5M
    Lgbtq TelepsychiatryWYPsychiatric/Mental Health Nurse Practitioner$0$3.9M
    Rehabilitation Enterprises Of Northeastern WyomingWYClinical Psychologist$0$3.5M
    Northeast Wyoming Pediatric Associates, P.C.WYPediatrics Physician$0$3.2M
    Gillette Pediatric Dentistry LLCWYPediatric Dentistry$0$2.9M
    Eagle Ridge Rehabilitative ServicesWYCase Management Agency$0$2.6M
    David BaileyWYPediatric Dentistry$0$2.6M
    Sensational Kids, LLCWYPediatric Occupational Therapist$0$2.1M
    Linda GarretsonWYDevelopmentally Disabled Services Day Training Agency$0$989.3K
    Senior Citizens CouncilWYHome Health Agency$0$959.7K

    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. Wyoming Distribution
    Kelly Thomas — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming