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    OpenPayerNPI Medicare & MedicaidThomas Ade
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    Thomas Ade — Billing Profile & Reimbursement Data

    NPI 1568448884 · Moline, IL · Pulmonary Disease Physician

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    Thomas Ade is a pulmonary disease physician provider located in Moline, Illinois. This profile covers 48 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Ade
    Address550 30th Ave
    CityMoline
    StateIL
    ZIP61265
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedDecember 19, 2005

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

    Payer SourceTotal Paid
    Medicare$506.5K
    Medicaid$151.6K

    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,660$90$234.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit460$120$56.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…530$60$32.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1,360$10$17.7K
    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…250$60$16K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,420$10$14.2K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…80$150$12K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,370$10$11K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…270$40$10.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$130$9.9K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992333,8605,990100$100$18.7K
    99214418,540110$80$17.1K
    8230611836050$30$14.7K
    G0439344,03070$130$13.6K
    992326417,96090$60$12.4K
    844437453080$20$11K
    992231,9886,19050$140$10.4K
    8006118570100$10$10.1K
    800533681090$10$9.4K
    17000610740170$40$9.1K

    Showing 1–10 of 48

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,240$50$111.8K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…1,200$10$14.4K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…920$10$7.3K
    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…200$30$6.7K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.1,280$10$6.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$30$2.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$20$2.2K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.100$10$790
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…40$10$220
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.20$10$180

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…1,48914,680300$50$48.7K
    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…8,07514,190280$20$38.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…2,6983,830210$40$29.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…3,0314,800210$30$29.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,5711,710750$10$18.2K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.9091,410210$10$9.4K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…11914090$30$9K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…518080$20$4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…651900120$10$3.5K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…518070$10$1.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Health SystemIAGeneral Acute Care Hospital$0$44.3M
    St Luke's Methodist HospitalIAGeneral Acute Care Hospital$0$36.2M
    Genesis Health SystemIAFamily Medicine Physician$0$23.2M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$16.5M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$12.8M
    Unity HealthcareIAGeneral Acute Care Hospital$0$12.7M
    Trinity Regional Medical CenterIAGeneral Acute Care Hospital$0$12.3M
    The Robert Young Center For Community Mental HealthILSubstance Use Disorder Rehabilitation Clinic/Center$0$9.5M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Genesis Health SystemIASurgery Physician$0$9.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ji MaILDentist$0$7.1M
    City Of MolineILAmbulance$421K$4.8M
    Bethany For Children & FamiliesILMental Health Clinic/Center (Including Community Mental Health Center)$0$5M
    Unitypoint At HomeILHome Health Agency$0$3.5M
    Community Health Care, Inc.ILFederally Qualified Health Center (FQHC)$0$3.3M
    May YazejiILSpecialist$18.8K$1.6M
    Sora ReddyILInterventional Cardiology Physician$1.3M$81K
    Pamela Papas-cordenILAnatomic Pathology & Clinical Pathology Physician$442.5K$923.7K
    Rsc Illinois LLCILAmbulatory Surgical Clinic/Center$822.5K$407.9K
    Aswartha PothulaILInterventional Cardiology Physician$870.4K$121.2K

    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. Illinois Distribution
    Thomas Ade — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Thomas Ade — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois