Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGary Thomas
    Ask Trek AI about this page

    Gary Thomas — Billing Profile & Reimbursement Data

    NPI 1407895261 · Winfield, AL · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Gary Thomas — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Gary Thomas is a internal medicine physician provider located in Winfield, Alabama. This profile covers 58 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGary Thomas
    Address644 Tahoe Rd
    CityWinfield
    StateAL
    ZIP35594
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 6, 2006

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

    Payer SourceTotal Paid
    Medicare$313.4K
    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,100$80$84.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit240$110$26.7K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…90$280$25.4K
    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…420$50$21.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…130$110$14.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…180$70$12.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…190$60$10.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$190$9.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,010$10$8.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,310$10$7.9K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306334440170$80$19.1K
    992141307,330120$80$16.8K
    99308248350170$50$15.4K
    992331,2671,86080$90$13.4K
    992328172,530100$60$13.3K
    8006146590120$10$12.1K
    G04391071,52070$120$11K
    83880698030$40$8.9K
    992152281,71040$110$8.1K
    992231,2692,14040$130$8.1K

    Showing 1–10 of 58

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Medical Center Inc.ALRural Acute Care Hospital$0$1.6M
    Pinnacle Physician Group, LLPALHospitalist Physician$0$1M
    James MossALInternal Medicine Physician$375.7K$0
    Charles AbneyALFamily Medicine Physician$322.6K$0
    Milo SpruiellALInternal Medicine Physician$257.3K$0
    Abdu Mohamed Abdallah AhmedMSFamily Medicine Physician$186K$0
    Martin HajjarALEmergency Medical Services (Emergency Medicine) Physician$156.1K$0
    Shelby SanfordALRadiation Oncology Physician$122.3K$0
    Jennifer BurdetteALFamily Medicine Physician$103.6K$0
    Jeffrey ManordALVascular Surgery Physician$73.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farouk A. Raquib, M.d., P.C.ALFamily Medicine Physician$0$6.2M
    Baptist Health Centers, LLCALHealth Service Clinic/Center$0$2.1M
    Northstar Ems IncALLand Ambulance$644.4K$743.8K
    Rodney TittleALGeneral Practice Dentistry$0$923.5K
    Charles WeeksALOptometrist$33.8K$281.9K
    Farouk RaquibALFamily Medicine Physician$189.5K$12.7K
    Superior Mobile Imaging IncALPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$96.7K$2.2K
    John WaldoALSpecialist$67.2K$0
    Ted CoxALObstetrics & Gynecology Physician$60.8K$0
    Kerry ClarkALFamily Nurse Practitioner$53.6K$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. Alabama Distribution
    Gary Thomas — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama