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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Lucas (NPI 1568411411)

Field	Value
Entity Type	Individual
Organization	Thomas Lucas
Address	3500 Oaklawn Ave
City	Dallas
State	TX
ZIP	75219
Taxonomy	Psychiatry Physician
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicare	$126K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	510	$90	$45K
99215	The 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…	240	$130	$31.2K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	960	$20	$22.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	380	$50	$18.4K
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…	30	$150	$4.1K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	60	$70	$4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	30	$10	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Thomas Lucas — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,439	32,500	110	$80	$17.6K
99215	578	8,730	40	$120	$9.2K
90833	45	480	70	$50	$6.6K
99205	1,965	4,320	30	$150	$5.5K
90836	33	80	50	$60	$5.5K
90785	67	80	170	$10	$3.7K
G2212	6	300	40	$20	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dustin Thrash	TX	Dermatology Physician	$388.3K	$0
Juliet Fallah	TX	Diagnostic Radiology Physician	$339.6K	$4.3K
Premier Diagnostics LLC	TX	Physiological Laboratory	$270K	$0
David Somsen	TX	Diagnostic Radiology Physician	$169.8K	$0
Sidney Kelt	TX	Psychiatry Physician	$114.7K	$0
Bhavik Patel	TX	Diagnostic Radiology Physician	$103.5K	$0
Paul Knechtges	TX	Diagnostic Radiology Physician	$84.7K	$0
Rania Hito	TX	Diagnostic Radiology Physician	$47.6K	$0
Berndt Schmit	TX	Diagnostic Radiology Physician	$37.7K	$2.2K
Ronnie Pollard	TX	Psychiatry Physician	$33.6K	$0

Thomas Lucas — Billing Profile & Reimbursement Data

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Thomas Lucas — 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