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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDilip Thomas
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    Dilip Thomas — Billing Profile & Reimbursement Data

    NPI 1689613994 · Greenville, SC · Ophthalmology Physician

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    Dilip Thomas is a ophthalmology physician provider located in Greenville, South Carolina. This profile covers 14 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
    OrganizationDilip Thomas
    Address360 Pelham Rd
    CityGreenville
    StateSC
    ZIP29615
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 5, 2006

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

    Payer SourceTotal Paid
    Medicare$55.2K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$110$9.2K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…20$560$9K
    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…90$80$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…130$50$6.7K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…10$430$6K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.10$420$5.5K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…20$310$4.9K
    99203The provider sees a new 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 provider…50$70$3.1K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.110$10$1.3K
    68801In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…10$70$1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67904223040$550$30.3K
    992144,9997,860160$80$23.2K
    14060314020$510$14.4K
    6791771020$390$13.9K
    992133,0767,690100$60$10.8K
    6790031020$430$10.3K
    992049884,52040$110$6.4K
    9208336640060$40$4.1K
    992031,1582,97030$70$3.9K
    9213337340070$20$3.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Au Medical Associates Emergency Medicine Billing Services, LLCGAEmergency Medicine Physician$0$8.9M
    Prisma Health TuomeySCEmergency Medicine Physician$0$6.8M
    Antonia KolokythasTNOral and Maxillofacial Surgery (Dentist)$0$5.9M
    Clemson Eye, PASCOphthalmology Physician$0$5.5M
    Prisma Health Medical Group-midlandsSCFamily Medicine Physician$0$3.6M
    Sreenivasa BasavanthappaILRetina Specialist (Ophthalmology) Physician$3.2M$14.2K
    Karl WeingartenCAVascular & Interventional Radiology Physician$2.1M$796.3K

    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. South Carolina Distribution
    Dilip Thomas — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina