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    OpenPayerNPI Medicare & MedicaidJohn Thompson
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    John Thompson — Billing Profile & Reimbursement Data

    NPI 1568448637 · Kennebunk, ME · Gastroenterology Physician

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    John Thompson is a gastroenterology physician provider located in Kennebunk, Maine. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Thompson
    Address2 Livewell Dr
    CityKennebunk
    StateME
    ZIP04043
    TaxonomyGastroenterology Physician
    NPI EnumeratedDecember 20, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$41.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$200$13.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$180$7.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$70$5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…70$60$4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$180$2.9K
    45388In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…10$210$2.7K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$120$2.5K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.30$80$2.2K
    99213The 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…20$50$880
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.20$30$500

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385306070$230$19.5K
    G010553020$220$6.1K
    45380106030$120$5.3K
    G012172010$240$5.3K
    43239177050$80$4.7K
    992132,0672,35050$50$4.3K
    4538811010$210$2.7K
    4537883020$140$2.6K
    4323573020$90$2.1K
    4345031020$30$560

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEMulti-Specialty Clinic/Center$0$10.9M
    Nathan WilsonMEInternal Medicine Physician$231.7K$0
    Richard StockwellMEColon & Rectal Surgery Physician$209.5K$0
    Andrei ZaslavskyMEInternal Medicine Physician$187.1K$0
    Howard ShermanMECardiovascular Disease Physician$143.6K$0
    Christopher BlombergMECardiovascular Disease Physician$110.5K$0
    Brandei WingardMECardiovascular Disease Physician$92K$0
    Jennifer CutoneMEInternal Medicine Physician$80.6K$0
    Steven CutoneMEInternal Medicine Physician$80.5K$0
    Frank GoudreauMEOrthopaedic Surgery Physician$71.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    React Behavioral Health, LLCMECommunity/Behavioral Health Agency$0$6.5M
    Kennebunk Operations, LLCMESkilled Nursing Facility$0$3.8M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    Kennebunk Walk-in ClinicMEFamily Medicine Physician$0$1.1M
    Acorn & Oak LLCMEMental Health Clinic/Center (Including Community Mental Health Center)$0$1.1M
    York County Pediatric DentistryMEDental Clinic/Center$0$814.3K
    Town Of KennebunkMELand Ambulance$321.7K$415.5K
    Cvs State Capital, L.L.C.MEPharmacy$225.4K$0
    Brian EwyMEDiagnostic Radiology Physician$151.6K$7.5K
    Nina ShervinMEOrthopaedic Surgery Physician$153.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    John Thompson — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine