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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Thomas (NPI 1699084905)

Field	Value
Entity Type	Individual
Organization	Thomas Thomas
Address	100 E Nasa
City	Webster
State	TX
ZIP	77598
Taxonomy	Optometrist
NPI Enumerated	October 4, 2010

Payer Source	Total Paid
Medicare	$29.3K
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
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	200	$90	$17.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	60	$60	$3.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	100	$30	$2.6K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	50	$50	$2.3K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	20	$100	$2.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	30	$30	$730
92499	Use 92499 to report ophthalmological procedures that do not have a specific code.	20	$30	$460

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. Texas Distribution

Thomas Thomas — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	899	2,700	100	$80	$21K
92012	970	1,690	80	$60	$10.9K
92134	1,263	1,690	70	$30	$8.3K
92004	1,505	2,070	40	$90	$6.1K
92083	773	1,590	50	$40	$4.1K
92250	596	1,840	50	$30	$3K
92499	5	10	30	$30	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chca Clear Lake LP	TX	General Acute Care Hospital	$0	$17.5M
Abdelnaser Elkhalili	TX	Rheumatology Physician	$2.8M	$0
Rakesh Shah	TX	Cardiovascular Disease Physician	$2M	$0
Chad Clause	TX	Foot Surgery Podiatrist	$1.4M	$0
Clear Lake Surgicare, Ltd	TX	Ambulatory Surgical Clinic/Center	$1M	$328.7K
Nadir Ali	TX	Interventional Cardiology Physician	$1.3M	$0
Mohamed Shalaby	TX	Cardiovascular Disease Physician	$931.5K	$0
Rajayogesh Davuluri	TX	Radiation Oncology Physician	$929K	$0
William Mcmullen	TX	Ophthalmology Physician	$814.4K	$0
Harvey Slusky	TX	Specialist	$750.5K	$0

Thomas Thomas — Billing Profile & Reimbursement Data

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Thomas Thomas — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References