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    Thomas King — Billing Profile & Reimbursement Data

    NPI 1649456211 · Clinton Twp, MI · Surgery Physician

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    Thomas King is a surgery physician provider located in Clinton Twp, Michigan. This profile covers 8 Medicare and 1 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 King
    Address15855 19 Mile Rd
    CityClinton Twp
    StateMI
    ZIP48038
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 14, 2008

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

    Payer SourceTotal Paid
    Medicare$33.1K
    Medicaid$490

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37215The provider places an intravascular stent into a cervical carotid artery under imaging guidance. He may place the stent through a percutaneous catheter or via an open incision. He also places an…20$800$14.5K
    99204The 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…50$90$4.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…160$30$4K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…20$220$3.6K
    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…40$80$2.7K
    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…40$50$1.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…40$30$1.1K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…10$70$940

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    37252506030$670$30.9K
    36475303030$770$28.6K
    3721541020$780$16.5K
    9921411,54015,47080$80$11.4K
    992139,40214,81060$60$6.6K
    9388033062040$80$5.1K
    992041,5356,28030$110$4.2K
    992121542,75030$40$2K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$20$500

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,4111,690230$30$36.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aswartha PothulaILInterventional Cardiology Physician$870.4K$121.2K
    Srikanth KasulaIAInterventional Cardiology Physician$861.7K$9.8K
    Rafat PadariaIACardiovascular Disease Physician$705.1K$0
    Robert PodeILOphthalmology Physician$581.5K$47.6K
    Edmund CoyneIACardiovascular Disease Physician$623K$920
    Kathleen KeyesIACardiovascular Disease Physician$614.8K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Maurice BinnsILEmergency Medicine Physician$65.5K$522.5K
    Faraz ManazirILInterventional Cardiology Physician$477.1K$78.2K
    Chloe PayneDEDermatology Physician$541.5K$11.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Macomb Hospital CorporationMIGeneral Acute Care Hospital$0$40.9M
    Integrated Living, Inc.MIMental Health Clinic/Center (Including Community Mental Health Center)$0$28.5M
    Henry Ford Cornerstone Medical GroupMIFamily Medicine Physician$0$14.2M
    Morc Home Care Inc.MICase Management Agency$0$7.6M
    Henry Ford Macomb Hospital CorporationMIAdvanced Practice Midwife$0$7.3M
    Professional Emergency Care, PCMIEmergency Medicine Physician$0$5.6M
    Brian LoderMIFoot & Ankle Surgery Podiatrist$2M$0
    Clinton Partners, LLCMIAmbulatory Surgical Clinic/Center$886.1K$0
    Mohammadreza KahnamoueiMIAdult Medicine Physician$545.6K$0
    Wei SuMIDermatopathology Physician$528.1K$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. Michigan Distribution
    Thomas King — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Thomas King — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan