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

Why is the Medicaid comparison limited to Maine 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. Maine (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 Openshaw (NPI 1588695811)

Field	Value
Entity Type	Individual
Organization	Thomas Openshaw
Address	33 Whiting Hill Rd
City	Brewer
State	ME
ZIP	04412
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicare	$55K
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…	340	$80	$25.4K
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…	140	$110	$15.8K
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…	40	$140	$5K
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…	90	$40	$3.9K
99204	The provider sees a new 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 provider…	30	$100	$2.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.5K
99231	The 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…	20	$40	$720

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. Maine Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	105	2,500	70	$70	$7.2K
99215	52	780	30	$100	$4.8K
99213	667	2,350	50	$50	$4.3K
99205	66	260	20	$140	$4K
99204	370	810	30	$100	$3.6K
99222	362	500	20	$100	$2.8K
99231	236	310	30	$40	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$7M
Houlton Regional Hospital	ME	Critical Access Hospital	$0	$4.1M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Michael Johnson	SC	Ophthalmology Physician	$3M	$0
Mrh Corp.	ME	Family Medicine Physician	$0	$1.9M
Millinocket Regional Hospital	ME	Critical Access Hospital	$0	$1.4M
Millinocket Regional Hospital	ME	Rural Health Clinic/Center	$0	$962.9K
Mrh Corp.	ME	Internal Medicine Physician	$0	$661.4K
Millinocket Regional Hospital	ME	Rural Health Clinic/Center	$0	$483K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rww Outpatient Rehab Services, Inc.	ME	In Home Supportive Care Agency	$0	$36.5M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$24.6M
A&m Home Care Corp	ME	Personal Care Attendant	$0	$17.3M
Mainely Kids & Teens, LLC	ME	Pediatric Dentistry	$0	$9M
Manzo Corporation	ME	In Home Supportive Care Agency	$0	$8.5M
Higher Ground Services LLC	ME	Community/Behavioral Health Agency	$0	$5.7M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Albert Adams	ME	Pediatrics Physician	$0	$1.1M
Autumn Of Life In Home Care	ME	In Home Supportive Care Agency	$0	$659.4K
A Time To Rise - Counseling & Wellness LLC	ME	Substance Use Disorder Rehabilitation Clinic/Center	$0	$556.6K

Thomas Openshaw — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References