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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Henderson (NPI 1538315338)

Field	Value
Entity Type	Individual
Organization	Thomas Henderson
Address	330 Camden Cswy
City	Elizabeth City
State	NC
ZIP	27909
Taxonomy	Audiologist
NPI Enumerated	August 12, 2008

Payer Source	Total Paid
Medicare	$4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	90	$20	$2K
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	110	$10	$1.5K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	20	$20	$350
92556	The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.	10	$20	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Thomas Henderson — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	159	320	90	$20	$3K
92550	5	20	20	$10	$1.1K
92556	28	30	20	$30	$860
92552	39	50	20	$20	$840

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Albemarle Regional Medical Center	NC	General Acute Care Hospital	$0	$13.8M
Cmg Of North Carolina, Inc.	NC	Pediatrics Physician	$0	$9.1M
Benjamin House, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$7.1M
The Brooks Senior Living LLC	NC	Assisted Living Facility	$0	$7M
Julia Schaefer-cutillo	NC	Hematology & Oncology Physician	$4M	$0
County Of Pasquotank Office Of The Treasurer	NC	Paramedic	$1.2M	$1.7M
Lindsey White	NC	Cardiovascular Disease Physician	$820.2K	$0
Jitendra Swarup	NC	Ophthalmology Physician	$702.6K	$0
Alan Maniet	NC	Cardiovascular Disease Physician	$556.2K	$0
Tejwant Chandi	NC	Internal Medicine Physician	$514.9K	$0

Thomas Henderson — Billing Profile & Reimbursement Data

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Thomas Henderson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References