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    OpenPayerNPI Medicare & MedicaidTom Thomas
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    Tom Thomas — Billing Profile & Reimbursement Data

    NPI 1871501643 · Morristown, NJ · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

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    Tom Thomas is a plastic surgery within the head & neck (otolaryngology) physician provider located in Morristown, New Jersey. This profile covers 24 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTom Thomas
    Address100 Madison Ave
    CityMorristown
    StateNJ
    ZIP07960
    TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
    NPI EnumeratedAugust 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$160.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…320$100$33.1K
    99205The provider sees a new 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 provider…120$180$22.6K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.190$110$20.2K
    38724The provider excises the lymph nodes and any diseased soft tissue he finds in the cervical area. He takes care to dissect free and preserve the spinal accessory nerve, the jugular vein, and the…10$1,220$14.6K
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…20$720$10.8K
    60500In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…10$840$9.3K
    99215The 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…60$150$9K
    13133The provider repairs a wound of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive undermining of tissues, and stents or…60$110$6.2K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…30$140$4.7K
    38542The provider excises lymph nodes deep in the jugular area. The provider performs this service on nodes that lie down under the layer of muscle or bone in the axilla, or armpit. The provider commonly…10$310$4.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6458231020$6,960$118.4K
    31231212230120$160$25.5K
    992143,53513,640130$90$23.6K
    3872421010$1,280$15.4K
    60500152020$690$15.1K
    13132378030$250$14.4K
    992139,78414,090100$70$13.1K
    992151,3663,75040$140$12K
    992233,9504,98050$140$11.8K
    13101618030$280$9.5K

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahs Hospital Corp.NJGeneral Acute Care Hospital$0$155.9M
    Practice Associates Medical GroupNJInternal Medicine Physician$0$49.3M
    Spring Hills At MorristownNJAssisted Living Facility$0$11.7M
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Constance GoreNJAcute Care Nurse Practitioner$1.1M$0
    Tatyana MarxNJNeurology Physician$1M$0
    Janet BartovNJRheumatology Physician$787.4K$0
    David TaylorNJUrology Physician$775.3K$0
    Thomas LeeNJVascular Surgery Physician$684.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Tom Thomas — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey