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    OpenPayerNPI Medicare & MedicaidChristian Thomas
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    Christian Thomas — Billing Profile & Reimbursement Data

    NPI 1487651584 · Westbrook, ME · Hematology & Oncology Physician

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    Christian Thomas is a hematology & oncology physician provider located in Westbrook, Maine. This profile covers 54 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
    OrganizationChristian Thomas
    Address11 Rock Row Ste 120
    CityWestbrook
    StateME
    ZIP04092
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 5, 2005

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $1.5M while Medicaid billing is recorded as none, indicating no Medicaid revenue on file and a business model that operates almost entirely on Medicare patients. This payer concentration means reimbursement changes driven by Medicare policy could materially affect the practice's topline.

    Revenue is highly concentrated in a small set of infusion drugs: the precomputed top‑3 Medicare codes account for 70.1% of this provider's total Medicare revenue, with J9299 ($453.6K, 31.2%), J9271 ($447.2K, 30.7%), and J0897 ($118.6K, 8.2%) listed as the top three contributors. That concentration points to dependence on high-cost oncology biologics rather than a broad mix of outpatient services.

    The procedure and ancillary code mix is consistent with an in‑office hematology/oncology infusion practice: chemotherapy administration codes such as 96413 ($34.7K) and 96402 ($5.7K), IV infusion codes like 96365 ($4.9K) and 96375 ($4.1K), plus routine labs (80053 $11.9K, 85025 $9.8K, 84153 $8.9K) and E/M codes (99214 $59K, 99215 $44.2K) indicate the practice both administers systemic cancer therapies and manages follow‑up visits and monitoring on site. These line items together suggest an integrated model that combines drug infusion, supportive care, and outpatient management.

    National competitive standing on the practice's highest‑revenue oncology drugs is modest: J9299 is ranked #186 of 505 and described as "typical, unremarkable volume for this code," while J9271 is ranked #1128 of 1841 and similarly labeled "typical, unremarkable volume for this code." In plain terms, the provider is not a dominant national supplier of these immunotherapies but participates at a typical volume level relative to peers.

    There are notable statistical outliers in specific procedure lines that signal areas of relative specialization: J9217 (Leuprolide acetate) generated $91K (6.3% of Medicare revenue) and ranks #26 of 3683 with the label "extreme outlier, far above typical national volume," and 96402 is ranked #67 of 4765 and also labeled an "extreme outlier, far above typical national volume" despite lower revenue ($5.7K). These outlier rankings imply this provider delivers certain depot hormone therapies and specific chemotherapy modalities at volumes well above most peers, which may reflect a focused patient mix (e.g., prostate cancer management or hormonal treatment protocols).

    Visit complexity and billing intensity skew toward higher‑complexity established encounters: 99215 ($44.2K, 3.0%) ranks #5122 of 145531 and is described as "notably above typical national volume for this code," while 99214 ($59K, 4.1%) is ranked and described as "typical, unremarkable volume for this code." Together these patterns suggest a meaningful share of high‑complexity follow‑up visits, consistent with management of complex oncology patients receiving systemic therapies.

    The provider has long tenure in the Medicare program, with an NPI enumerated on 2005-07-05 (~21 years ago), which indicates an established practice likely supported by stable referral relationships. When combined with the concentrated revenue in high‑cost oncology infusions and the presence of high‑volume, high‑ranked procedure outliers, the tenure supports the interpretation of a mature, infusion‑focused hematology/oncology practice rather than a new or transient operation.

    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9299Injection, nivolumab, 1 mg18,900$20$453.6K
    J9271Injection, pembrolizumab, 1 mg10,400$40$447.2K
    J0897Injection, denosumab, 1 mg6,240$20$118.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg670$140$91K
    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…620$100$59K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,380$40$49.7K
    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…320$140$44.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…330$110$34.6K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)14,400$1$28.8K
    J1439Injection, ferric carboxymaltose, 1 mg21,000$1$21K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927161016,450$40$699.2K
    J929931030,720$20$671.3K
    J15696103,150$40$144.9K
    J08976202,730$20$86.4K
    J088161015,200$1$47K
    J143991024,750$1$32.2K
    J349031070$390$29.1K
    J9217110120$130$27.9K
    96413730170$100$20.6K
    J145441060$340$18.3K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEGeneral Acute Care Hospital$0$142.6M
    MainehealthMECommunity/Behavioral Health Agency$0$115M
    MainehealthMEGeneral Acute Care Hospital$0$70.7M
    MainehealthMEGeneral Acute Care Hospital$0$40M
    MainehealthMEGeneral Acute Care Hospital$0$31.5M
    MainehealthMEGeneral Acute Care Hospital$0$22.7M
    MainehealthMERural Health Clinic/Center$0$16.7M
    MainehealthMEMulti-Specialty Clinic/Center$0$10.9M
    MainehealthMERural Health Clinic/Center$0$10M
    MainehealthMERural Health Clinic/Center$0$9.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative WorksMEDevelopmentally Disabled Services Day Training Agency$0$144.1M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$101.5M
    Safe Residential Care, LLCMEPhysical Disabilities Residential Treatment Facility$0$94.6M
    3rivers, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$78.6M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$46.3M
    Alliance Case ManagementMECase Management Agency$0$17.8M
    Woodfords Family ServicesMEIn Home Supportive Care Agency$0$11.3M
    Woodfords Family ServicesMECase Management Agency$0$9.4M
    Mas Medical Staffing CorporationMEHome Health Agency$0$8.1M
    Maine Community HomecareMEIn Home Supportive Care Agency$0$8.1M

    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. Maine Distribution
    Christian Thomas — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine