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.

Robert Thoreson (NPI 1720151327)

Field	Value
Entity Type	Individual
Organization	Robert Thoreson
Address	11410 Jollyville Road
City	Austin
State	TX
ZIP	78759
Taxonomy	Family Medicine Physician
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicare	$80.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
20551	The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon.	910	$30	$24.5K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	350	$60	$21.1K
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…	280	$60	$17.9K
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…	180	$80	$14K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	40	$50	$1.6K
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…	20	$80	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Robert Thoreson — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,740	32,500	110	$80	$17.6K
98929	2	10	90	$60	$12.4K
98928	18	20	60	$50	$10.9K
99215	6,905	8,730	40	$120	$9.2K
99213	4,138	29,790	70	$60	$8.4K
20551	1	90	20	$30	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D&s Residential Services, LP	TX	Intellectual Disabilities Intermediate Care Facility	$0	$97M
Entrusted Pediatric Home Care L.L.C.	TX	Home Health Agency	$0	$46.8M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$41.7M
D&s Residential Services, LP	TX	Intellectual Disabilities Intermediate Care Facility	$0	$39.1M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.7M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.3M
Mga Healthcare Texas, LLC	TX	Home Health Agency	$0	$30.7M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.6M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.8M
D&s Residential Services, LP	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.4M

Robert Thoreson — Billing Profile & Reimbursement Data

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Robert Thoreson — 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