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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 Carroll (NPI 1861750853)

Field	Value
Entity Type	Individual
Organization	Thomas Carroll
Address	2720 Stone Park Blvd
City	Sioux City
State	IA
ZIP	51104
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 26, 2012

Payer Source	Total Paid
Medicare	$2.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64488	In this procedure, the provider performs a bilateral transversus abdominis plane block, or TAP block, by injections. A TAP block diminishes the pain that occurs for reasons such as lower abdominal…	20	$50	$850
64445	The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…	10	$50	$700
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$30	$430
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	10	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Thomas Carroll — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64488	3	10	20	$50	$810
36620	127	170	20	$30	$770
64445	2	10	10	$50	$730
76937	82	90	20	$10	$360

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anesthesia Consultants PC	IA	Anesthesiology Physician	$0	$1.9M
Tuyen Nguyen	WI	Certified Registered Nurse Anesthetist	$99.2K	$0
Angala Schwabe	IA	Certified Registered Nurse Anesthetist	$87.9K	$0
Jeremy Poulsen	SD	Pain Medicine (Anesthesiology) Physician	$75.6K	$0
Neil Matthey	IA	Anesthesiology Physician	$36.3K	$0
Gregory Simelgor	MN	Anesthesiology Physician	$32.1K	$0
Michael Hansen	NE	Certified Registered Nurse Anesthetist	$26.6K	$0
James Lodahl	WI	Anesthesiology Physician	$18.5K	$0
Robert Massop	WI	Anesthesiology Physician	$17.7K	$0
Michael Ting	WI	Anesthesiology Physician	$16.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$22.8M
Northwest Iowa Hospital Corporation	IA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.9M
Simple Life, Inc.	IA	Community/Behavioral Health Agency	$0	$5.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$5M
Opportunities Unlimited	IA	Child Mental Illness Respite Care	$0	$2.8M
Siouxland Dental Health	IA	Dentist	$0	$1.8M
Pierce Street Same Day Surgery, Lc	IA	Ambulatory Surgical Clinic/Center	$633.9K	$1.1M
Siouxland Medical Education Foundation, Inc	IA	Family Medicine Physician	$0	$1.3M
Siouxland Hospitalists PLLC	IA	Internal Medicine Physician	$0	$1.1M
Family Service's Inc	IA	Psychiatry Physician	$0	$1.1M

Thomas Carroll — Billing Profile & Reimbursement Data

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Thomas Carroll — 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