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

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

Abby Thames (NPI 1780086249)

Field	Value
Entity Type	Individual
Organization	Abby Thames
Address	1600 22nd Ave Fl 3
City	Meridian
State	MS
ZIP	39301
Taxonomy	Surgical Physician Assistant
NPI Enumerated	September 16, 2014

Payer Source	Total Paid
Medicare	$32K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	520	$40	$19.1K
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…	120	$50	$6.2K
99203	The 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…	90	$40	$3.9K
76775	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…	150	$20	$2.4K
51741	Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.	20	$1	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Abby Thames — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,403	4,110	170	$70	$21.9K
99213	359	4,000	100	$50	$10.3K
99203	244	1,480	30	$60	$3.5K
76775	3	60	30	$30	$1.2K
51741	27	40	30	$10	$470

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$32.5M
Anderson Regional Medical Center	MS	Rural Health Clinic/Center	$0	$5.4M
Anderson Regional Medical Center	MS	General Acute Care Hospital	$0	$4.1M
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Anderson Physician Alliance, Inc.	MS	Multi-Specialty Clinic/Center	$0	$2.7M
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0
Wesley Bennett	MS	Interventional Cardiology Physician	$1.1M	$0
Thomas Plavac	MS	Cardiovascular Disease Physician	$1M	$0
Edwin Purvis	MS	Cardiovascular Disease Physician	$676.4K	$0
Larry Shea Hailey	MS	Cardiovascular Disease Physician	$659.8K	$0

Abby Thames — Billing Profile & Reimbursement Data

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Abby Thames — 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

Frequently Asked Questions

References