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    OpenPayerNPI Medicare & MedicaidAdam Thomas
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    Adam Thomas — Billing Profile & Reimbursement Data

    NPI 1437116530 · Fort Wayne, IN · Urology Physician

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    Adam Thomas is a urology physician provider located in Fort Wayne, Indiana. 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
    OrganizationAdam Thomas
    Address11141 Parkview Plaza Dr Ste 325
    CityFort Wayne
    StateIN
    ZIP46845
    TaxonomyUrology Physician
    NPI EnumeratedMay 1, 2006

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

    Payer SourceTotal Paid
    Medicare$178.1K
    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
    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…690$80$58.1K
    52000In 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…160$160$25.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg150$130$19.9K
    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…90$110$9.5K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$410$9.5K
    J0585Injection, onabotulinumtoxina, 1 unit1,400$10$7K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$530$6.9K
    52351The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…30$200$6.2K
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.160$40$6.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$240$5.5K

    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
    J058578808,460$1$51K
    J92174390150$130$23K
    5244211070$210$17.2K
    9921447610,540110$80$15.5K
    520003119090$130$13.1K
    50590225020$520$12.4K
    523563710020$520$12K
    52601143010$580$8.1K
    992137,59310,82080$50$7.6K
    5244111020$380$7.2K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Health System IncINFamily Medicine Physician$0$88.7M
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Parkview Health System, Inc.INInternal Medicine Physician$0$22.5M
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Parkview Health System, Inc.INObstetrics & Gynecology Physician$0$7.3M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Steppin Up Physical Therapy, Inc.INPhysical Therapist$0$4.6M
    Parkview Health System, Inc.INCardiovascular Disease Physician$0$3M
    Salar RafieetaryTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    Pawan RawalTNNeurology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Hospital, Inc.INGeneral Acute Care Hospital$0$92.8M
    Fort Wayne Radiology Associates LLCINDiagnostic Radiology Physician$0$8.8M
    Adeel KhanINOphthalmology Physician$6.6M$0
    Park Place Senior Living, LLCINAssisted Living Facility$0$4.4M
    Nephrology Associates Of Northern Indiana, IncINNephrology Physician$0$3.3M
    Allied Hospital Pathologists, P.C.INAnatomic Pathology & Clinical Pathology Physician$0$2.9M
    Gohar SalamINOphthalmology Physician$2.5M$0
    Parkview Ortho Center, LLCINAmbulatory Surgical Clinic/Center$627.7K$15.8K
    Heather RoyINNurse Practitioner$394.6K$0
    Robert BednarekINDermatology Physician$320K$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. Indiana Distribution
    Adam Thomas — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana