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    OpenPayerNPI Medicare & MedicaidThomas Lucas
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    Thomas Lucas — Billing Profile & Reimbursement Data

    NPI 1477746998 · Sumter, SC · Family Medicine Physician

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    Thomas Lucas is a family medicine physician provider located in Sumter, South Carolina. This profile covers 79 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
    OrganizationThomas Lucas
    Address325 Broad St
    CitySumter
    StateSC
    ZIP29150
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 20, 2007

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

    Payer SourceTotal Paid
    Medicare$290.5K
    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.

    79 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…1,430$80$110.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit200$110$22.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…410$40$16.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…130$80$10K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.140$60$8.2K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…230$30$6.7K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$220$5.1K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes220$20$4.8K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.120$40$4.6K
    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…20$270$4.2K

    Showing 1–10 of 79

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 79 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    79 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452255290110$200$25.8K
    93306349450230$80$23.9K
    992141257,860160$80$23.2K
    A95026580140$90$19.7K
    8030757130110$60$14.6K
    G04393701,87080$120$14.5K
    0241U5910030$140$13.7K
    J2785140160240$40$12.9K
    2061111716060$70$10.1K
    906943171,05070$80$9.5K

    Showing 1–10 of 79

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colonial Family Practice, LLCSCFamily Medicine Physician$0$9.5M
    David WhaleySCFamily Medicine Physician$595.2K$0
    John BakerSCNeurology Physician$453.6K$0
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K
    Clayton LowderSCFamily Medicine Physician$340.1K$0
    Monish MerchantFLVascular & Interventional Radiology Physician$306.8K$120
    Mitchell GrunskySCFamily Medicine Physician$299.1K$0
    Ike StewartSCFamily Medicine Physician$282.5K$0
    Christopher MahrSCFamily Medicine Physician$228.9K$0
    Joseph AdamsNCFamily Medicine Physician$219.1K$3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Sumter Pediatrics, P.A.SCPediatrics Physician$0$24.4M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$17.3M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$7.8M
    Prisma Health TuomeySCEmergency Medicine Physician$0$6.8M
    Wesmark Dental Health CenterSCGeneral Practice Dentistry$0$6.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$5.5M
    Carolina Children's Dentistry, LLCSCPediatric Dentistry$0$5.2M
    Sumter School DistrictSCLocal Education Agency (LEA)$0$4.2M
    Kool Smiles, PCSCGeneral Practice Dentistry$0$4.2M

    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. South Carolina Distribution
    Thomas Lucas — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina