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.

M Thomas (NPI 1528031820)

Field	Value
Entity Type	Individual
Organization	M Thomas
Address	1240 S Cedar Crest Blvd
City	Allentown
State	PA
ZIP	18103
Taxonomy	Gynecologic Oncology Physician
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicare	$72.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	70	$720	$48.3K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	30	$250	$7.5K
99205	The provider sees a new 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 provider…	60	$140	$7.5K
99204	The 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…	40	$100	$4.4K
38900	The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…	30	$110	$3.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

M Thomas — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
58571	1	40	20	$660	$13.3K
38571	3	20	20	$270	$5.4K
99204	3,541	10,290	30	$110	$5K
99205	414	3,090	20	$150	$4.9K
99222	6,863	7,850	30	$100	$4.3K
38900	11	70	20	$120	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$32.3M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.9M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.2M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$10.1M
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Susan Kim	PA	Rheumatology Physician	$770.1K	$0
Steven Oberlender	PA	MOHS-Micrographic Surgery Physician	$760K	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Tomasz Wiraszka	GA	Retina Specialist (Ophthalmology) Physician	$533.4K	$11.9K
Cynthia Bartus	PA	MOHS-Micrographic Surgery Physician	$457.5K	$0

M Thomas — Billing Profile & Reimbursement Data

Sign up for M Thomas — Billing Profile & Reimbursement Data policy alerts

M Thomas — Billing Profile & Reimbursement Data

Sign up for M Thomas — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References