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 Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Eric Thomas (NPI 1528378072)

Field	Value
Entity Type	Individual
Organization	Eric Thomas
Address	601 Mountain Springs Rd
City	Helena
State	MT
ZIP	59602
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 18, 2010

Payer Source	Total Paid
Medicare	$379.7K
Medicaid	$0

Key Findings

This provider’s Medicare revenue totals $379.7K and there is no Medicaid billing on file, so the practice is effectively single‑payer with Medicare accounting for the entire recorded public-payor activity. The absence of any Medicaid CPT/HCPCS entries confirms no Medicaid revenue stream to compare against Medicare in this profile.

Revenue is highly concentrated in remote physiologic monitoring (RPM) and related services: the precomputed top-3 Medicare codes (99458, 99457, 99454) together account for 74.2% of total Medicare revenue. Individually those codes generate $126.1K (99458), $117.8K (99457), and $37.2K (99454), indicating the practice’s financial footprint is dominated by RPM billing.

The code mix strongly indicates an operational model built around RPM and structured remote care management rather than routine office-based care. Key RPM codes include 99458 and 99457 (real‑time interactive RPM management) plus 99454 and 99453 (device supply and setup), and the presence and revenue for 99453 ($3.1K) and 99454 ($37.2K) show the practice is billing both equipment/setup and ongoing monitoring.

For competitive standing, the provider is a national outlier on core RPM codes: 99458 ranks #31 of 3715 providers (99th percentile; extreme outlier) and 99457 ranks #40 of 6044 providers (99th percentile; extreme outlier), signaling a dominant national position for those services. By contrast, 99454 ranks #321 of 5663 (94th percentile; typical, unremarkable volume), which suggests the provider’s RPM device-supply volume is high but not as extreme as its management-time billing.

Traditional in-person E/M services appear modest relative to RPM activity, consistent with a remote-first service line. For example, 99202 produced $13.9K and ranks #55 of 20840 providers (100th percentile; extreme outlier) while common established-visit codes such as 99213 ($4.3K, 44th percentile) and 99212 ($680, 21st percentile) are far less prominent, implying fewer routine office visits billed to Medicare.

Several telephone/virtual visit codes also show unusually high volume nationally, reinforcing the remote-care profile: 99441 generated $31.3K and ranks #24 of 10645 providers (100th percentile; extreme outlier), while 99443 produced $20.9K and ranks #341 of 14283 providers (98th percentile; notably above typical national volume). These rankings indicate the provider is billing far more telephonic or virtual E/M time than most peers.

Programmatic breadth is suggested by ancillary preventive and care‑coordination services on file: 99490 (care coordination) contributed $14.6K (3.8% of Medicare revenue) and G0438 (initial AWV) contributed $3.4K, both at percentiles labeled as typical or modest nationally. The mix shows the provider pairs RPM with elements of chronic care management and preventive screening rather than relying solely on one narrow procedure.

The provider’s NPI was enumerated on 2010-10-18 (~16 years ago), indicating an established billing history; despite long tenure, the current Medicare footprint is concentrated in RPM and virtual care codes rather than broad-based in-person Medicaid or Medicare services. Given the lack of Medicaid activity, any payer-portfolio growth would likely need to come from expanding into Medicaid or diversifying beyond RPM within Medicare.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	4,070	$30	$126.1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	3,180	$40	$117.8K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	950	$40	$37.2K
99441	N/A	1,120	$30	$31.3K
99443	N/A	240	$90	$20.9K
99490	The 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…	300	$50	$14.6K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	300	$50	$13.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60	$70	$4.3K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$160	$3.4K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	50	$70	$3.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Eric Thomas — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99458	1	10	4,070	$30	$124.8K
99457	1	10	3,180	$40	$119K
99454	1	10	950	$40	$37.2K
99490	7	30	140	$40	$8K
99213	1,036	1,730	90	$50	$7.2K
99441	2	40	20	$30	$5.3K
99442	32	90	20	$50	$5.3K
99453	1	10	220	$10	$3.2K
99497	24	60	30	$40	$2.8K
99443	1	60	20	$70	$2.4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yasmin Pirani	CA	Diagnostic Radiology Physician	$168.9K	$0
Sean Swaney	VA	General Practice Physician	$107.2K	$50
Alexei Zhadkevich	HI	Hospitalist Physician	$75.9K	$28.4K
Alla Zilberman	FL	Family Medicine Physician	$57.6K	$0
NPI 1912959073	—	—	$54.3K	$0
Ingrid Kohlstadt	MD	Obesity Medicine (Preventive Medicine) Physician	$27.2K	$0
Naznin Esphani	TX	Internal Medicine Physician	$19.3K	$0
Rashid Awan	CA	Anesthesiology Physician	$18.7K	$0
Randi Lockamy	NC	Nurse Practitioner	$11.9K	$0
Merlyn Clarke	GA	Psychiatric/Mental Health Nurse Practitioner	$11.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Meadow Resources, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$20.2M
Intermountain Deaconess Home For Children	MT	Psychologist	$0	$1.7M
Masonic Home Of Montana, Inc.	MT	Assisted Living Facility	$0	$1.5M
St Peter's Medical Group North	MT	Family Medicine Physician	$0	$1.5M
Roots Rehab	MT	Occupational Therapist	$0	$1.3M
Montana Kids Dental LLC	MT	Pediatric Dentistry	$0	$1.3M
First Words Speech And Language Clinic	MT	Speech-Language Pathologist	$0	$845.3K
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$836.8K
Intermountain Sbs	MT	Community/Behavioral Health Agency	$0	$606.1K
Montana Telepsych Solutions Inc.	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$440.6K

Eric Thomas — Billing Profile & Reimbursement Data

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Eric Thomas — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References