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    OpenPayerNPI Medicare & MedicaidAllan Thornton
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    Allan Thornton — Billing Profile & Reimbursement Data

    NPI 1649256579 · Hampton, VA · Radiation Oncology Physician

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    Allan Thornton is a radiation oncology physician provider located in Hampton, Virginia. This profile covers 19 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
    OrganizationAllan Thornton
    Address40 Enterprise Pkwy
    CityHampton
    StateVA
    ZIP23666
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    ALLAN THORNTON is a radiation oncology physician in Hampton, VA with an NPI enumerated since 2005-12-22 (≈21 years), indicating long-standing Medicare participation and operational tenure in this specialty. The provider's lifetime Medicare revenue is $3.3M and there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile for available data. The top three Medicare codes by revenue account for 83.5% of total Medicare revenue, indicating a highly concentrated revenue base driven by a small set of proton and imaging-related radiation therapy services. Proton therapy technical components 77522 and 77525 are the dominant service lines, generating $1.4M (42.3%) and $1.2M (34.9%) respectively; this code mix implies the provider operates with a strong focus on proton-based external beam radiation services and likely on the technical infrastructure required for those treatments. The provider ranks highly for certain proton and imaging codes: 77525 ranks #2 of 27 providers nationally and is described as notably above typical national volume (96th percentile), while 77522 ranks #2 of 4 providers nationally at the 67th percentile, suggesting above-typical to high national presence for proton therapy services relative to peers. Several support and planning codes are also reported at unusually high volumes: G6002 is an extreme outlier (rank #4 of 2280 providers, 100th percentile) with 3.6K claims and $210.1K revenue, and 77334 is an extreme outlier (rank #24 of 4463 providers, 99th percentile) with 651 claims and $63.8K revenue, indicating unusually high use of stereoscopic x-ray guidance and custom device design services for radiation delivery. Other planning, simulation, and physics services (e.g., 77427, 77336, 77295, 77280) appear notably above typical national volume or high percentile ranks, which supports a practice profile that handles complex planning, quality assurance, and ongoing physics consultation alongside its primary proton therapy treatments. The absence of any Medicaid billing means comparisons to in-state Medicaid peers are not possible; as a result, competitive standing and payer-mix conclusions should be interpreted strictly within the Medicare context and not extrapolated to the broader commercial or Medicaid markets.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77522This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is simple,…2,070$680$1.4M
    77525This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is complex,…1,470$790$1.2M
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy3,620$60$210.1K
    77523This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…230$710$163.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…600$150$89K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…50$1,440$66.3K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.650$100$63.8K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…590$70$39.7K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.160$210$32.7K
    77295Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…70$380$27.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    775222102,070$680$1.1M
    775251101,140$790$707.9K
    77523210270$700$186.8K
    77427590260$150$41.1K
    77301518050$620$35.3K
    77336220310$70$23.2K
    77334490200$60$14.7K
    7728088050$140$13.8K
    77263809090$130$13K
    G6002270180$40$12.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher SinesiVARadiation Oncology Physician$3.8M$0
    Andrew ChangCARadiation Oncology Physician$481.3K$0
    Tyvin RichVARadiation Oncology Physician$158K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hampton Newport News Community Services BoardVACommunity/Behavioral Health Agency$0$123.8M
    Sentara HospitalsVAGeneral Acute Care Hospital$0$78.5M
    Serenity C & C Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$74.2M
    Agape Counseling & Therapeutic Services, IncVACommunity/Behavioral Health Agency$0$18.5M
    Alliance Behavioral CounselingVACommunity/Behavioral Health Agency$0$16.9M
    Hampton Mental Health Associates, IncVAMental Health Clinic/Center (Including Community Mental Health Center)$0$12M
    United And Empowered Care, IncVADevelopmentally Disabled Services Day Training Agency$0$11.8M
    Better Life Services, Inc.VACommunity/Behavioral Health Agency$0$9.2M
    Creating Scholars Through Therapy, LLCVACommunity/Behavioral Health Agency$0$7.6M
    Key Elements Care, LLCVAIn Home Supportive Care Agency$0$6.8M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Allan Thornton — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia