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

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

Thomas Gardner (NPI 1376538066)

Field	Value
Entity Type	Individual
Organization	Thomas Gardner
Address	535 Barnhill Dr
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Urology Physician
NPI Enumerated	September 19, 2005

Payer Source	Total Paid
Medicare	$53.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 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…	400	$50	$20.8K
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…	250	$80	$18.7K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	70	$90	$6.3K
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…	40	$70	$2.9K
99442	N/A	40	$40	$1.5K
55700	Code deleted December 31, 2025.	10	$90	$1.1K
99443	N/A	10	$90	$1.1K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	60	$10	$340
51600	Voiding cystourethrogram (VCUG) is also known as micturating cystourethrogram (MCUG). This is a technique which is performed to detect reflux by watching a person's urethra and urinary bladder during…	10	$30	$340
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	10	$20	$340

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Thomas Gardner — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,881	10,540	110	$80	$15.5K
52000	128	190	90	$130	$13.1K
99213	795	10,820	80	$50	$7.6K
55700	100	120	20	$180	$4.8K
99443	136	150	30	$70	$4.5K
99203	1,215	3,490	30	$70	$3.1K
76872	98	110	30	$60	$1.9K
99442	55	240	20	$50	$1.7K
51798	181	260	100	$10	$970
51600	3	10	10	$60	$800

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marcelino Rivera	IN	Urology Physician	$106.9K	$0
Hristos Kaimakliotis	IN	Urology Physician	$100.1K	$0
Tim Large	SC	Urology Physician	$82.8K	$0
Timothy Masterson	IN	Urology Physician	$82.2K	$0
Aaron Bernie	IN	Urology Physician	$72.9K	$0
Clinton Bahler	IN	Urology Physician	$59.2K	$0
Michael Koch	IN	Urology Physician	$57.1K	$0
Austen Slade	ID	Urology Physician	$36.1K	$0
Chandru Sundaram	IN	Urology Physician	$34.7K	$0
Charles Powell	IN	Urology Physician	$32.5K	$0

Thomas Gardner — Billing Profile & Reimbursement Data

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Thomas Gardner — 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

Frequently Asked Questions

References