Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Thomas Graham (NPI 1508860990)

Field	Value
Entity Type	Individual
Organization	Thomas Graham
Address	11 Industrial Blvd Ste 204
City	Paoli
State	PA
ZIP	19301
Taxonomy	Neurology Physician
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicare	$7.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	150	$30	$4.8K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	40	$50	$1.8K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	20	$50	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Thomas Graham — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93880	91	760	50	$70	$5.4K
95812	9	10	30	$110	$3.3K
95816	88	170	40	$60	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Gardner	PA	Neurology Physician	$363.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steltz Pharmacy Inc	PA	Durable Medical Equipment & Medical Supplies	$0	$16.6M
Main Line Emergency Med Associates LLC	PA	Emergency Medicine Physician	$0	$6.1M
Andrew Bowman	PA	Cardiovascular Disease Physician	$997.4K	$0
Mitchell Paulin	PA	Physical Medicine & Rehabilitation Physician	$996.1K	$0
David Singer	PA	Plastic Surgery Physician	$902.3K	$0
Leo Podolsky	PA	Cardiovascular Disease Physician	$827.9K	$0
Nirav Mehta	PA	Cardiovascular Disease Physician	$783.3K	$0
Kevin Shinal	PA	Cardiovascular Disease Physician	$782.5K	$0
Colin Movsowitz	PA	Clinical Cardiac Electrophysiology Physician	$727.1K	$0
Marchello Barbarisi	PA	Diagnostic Radiology Physician	$718.7K	$0

Thomas Graham — Billing Profile & Reimbursement Data

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Thomas Graham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References