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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Donald Thomas (NPI 1730167545)

Field	Value
Entity Type	Individual
Organization	Donald Thomas
Address	7300 Hanover Dr
City	Greenbelt
State	MD
ZIP	20770
Taxonomy	Rheumatology Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Medicare: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0490	Injection, belimumab, 10 mg	11,250	$40	$438.7K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	11,700	$30	$374.4K
J9312	Injection, rituximab, 10 mg	4,970	$60	$288.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5,980	$30	$155.5K
J1602	Injection, golimumab, 1 mg, for intravenous use	11,360	$10	$102.2K
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…	420	$150	$60.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	540	$60	$31.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	260	$120	$31.1K
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…	190	$110	$20.9K
J3304	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,250	$10	$16.2K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Donald Thomas — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	12	40	6,060	$30	$290.2K
J0490	1	10	7,040	$40	$271.6K
J9312	3	10	2,900	$60	$261.2K
J1745	8	40	2,810	$30	$109K
J1602	8	30	8,300	$10	$102.8K
96413	91	230	200	$110	$29.6K
J7327	25	30	30	$550	$27.2K
J7326	41	60	40	$410	$24.4K
99214	4,418	10,270	150	$90	$24.1K
91322	539	680	90	$140	$19.4K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yevgeniy Sheyn	MD	Rheumatology Physician	$373.7K	$0
Jonathan Adelson	MD	Rheumatology Physician	$244.3K	$76.3K
Rukmini Konatalapalli	MD	Rheumatology Physician	$315.1K	$0
April Lowe	MD	Family Nurse Practitioner	$268K	$0
Maria Chou	VA	Rheumatology Physician	$245.9K	$0
Deborah Kim	DC	Internal Medicine Physician	$187.2K	$0
Patricia Goodman	MD	Primary Care Nurse Practitioner	$187K	$0
Irina Skopets	MD	Neurology Physician	$36K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pm Pediatrics Of Maryland	MD	Urgent Care Clinic/Center	$0	$33.5M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$21.6M
Advanced Behavioral Health, Inc.	MD	Child & Adolescent Psychiatry Physician	$0	$20.2M
Families First Counseling And Psychiatry, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Maxim Healthcare Services, Inc.	MD	Home Health Agency	$0	$19.2M
Volunteers Of America Chesapeake & Carolinas, Inc	MD	Voluntary or Charitable Agency	$0	$16.4M
Capital Hospice	MD	Community Based Hospice Care Agency	$0	$15.8M
Maryland Health Alliance, Inc.	MD	Mental Health Counselor	$0	$13.1M
Elites Care LLC	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M

Donald Thomas — Billing Profile & Reimbursement Data

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Donald 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

Related Providers

Nearby Providers

Frequently Asked Questions

References