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    OpenPayerNPI Medicare & MedicaidMiranda Thomas
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    Miranda Thomas — Billing Profile & Reimbursement Data

    NPI 1427512318 · Hagerstown, MD · Family Nurse Practitioner

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    Miranda Thomas is a family nurse practitioner provider located in Hagerstown, Maryland. This profile covers 23 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
    OrganizationMiranda Thomas
    Address11110 Medical Campus Rd Ste 228
    CityHagerstown
    StateMD
    ZIP21742
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 25, 2019

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

    Payer SourceTotal Paid
    Medicare$232.6K
    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.

    23 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…1,460$50$77.5K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…1,330$30$45.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg170$130$22.3K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.310$70$21.3K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.510$30$17.3K
    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…190$60$12.2K
    51705In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.60$60$3.7K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…100$30$3.5K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.100$30$3.5K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.100$30$3.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8779835601,430$30$170.3K
    874811560160$30$48.7K
    87801820140$70$34.7K
    883138714070$60$29.4K
    J921742100150$130$27.3K
    88342190250120$60$21.3K
    876532950120$30$16K
    876403050130$30$15.9K
    99213779,280100$60$12.5K
    876413150130$30$10.8K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Practices Of Antietam, LLCMDGeneral Practice Physician$0$20.5M
    Michael BrancaccioDCAnatomic Pathology & Clinical Pathology Physician$950.6K$0
    Christopher VaccariMDCardiovascular Disease Physician$675.1K$0
    Dean NotabartoloMDCardiovascular Disease Physician$545K$0
    Jeffrey JonesMDCardiovascular Disease Physician$499.8K$0
    Fahad LodhiMDCardiovascular Disease Physician$494.8K$0
    Zubair FaridiMDCardiovascular Disease Physician$489.9K$0
    Joseph HolobinkoMDOrthopaedic Surgery Physician$481.6K$0
    Girish ReddyMDCardiovascular Disease Physician$423.2K$0
    Mudusar RazaMDPulmonary Disease Physician$350.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meritus Medical Laboratory LLCMDClinical Medical Laboratory$3.4M$12.1M
    Brook Lane Behavioral Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    Meritus Urgent Care, LLCMDUrgent Care Clinic/Center$0$4.9M
    William SuMDVascular Surgery Physician$1.4M$0
    Syed MahmoodMDMedical Oncology Physician$1M$0
    Sarim MirMDNeurology Physician$801.3K$0
    Meridian Surgery Center LLCMDAmbulatory Surgical Clinic/Center$614.4K$0
    Ernest AmegashieMDCardiovascular Disease Physician$588.2K$130
    Hagerstown Surgery Center,llcMDAmbulatory Surgical Clinic/Center$559K$28.4K
    Thomas GilbertMDEmergency Medicine Physician$556.7K$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. Maryland Distribution
    Miranda Thomas — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland