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

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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 Whalen (NPI 1891869640)

Field	Value
Entity Type	Individual
Organization	Thomas Whalen
Address	3300 Healthplex Pkwy
City	Norman
State	OK
ZIP	73072
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicare	$148.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,300	$60	$76.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	390	$80	$32.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	280	$100	$26.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$7.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$90	$2.6K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	10	$70	$950
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$60	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Thomas Whalen — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,079	1,260	120	$90	$19.1K
99232	51	1,770	90	$60	$14K
99223	637	1,550	50	$130	$9.6K
99239	6	690	80	$90	$8.5K
99497	291	310	50	$60	$4.8K
99222	19	1,130	30	$90	$4.6K
99235	3	10	10	$110	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Authority	OK	General Acute Care Hospital	$0	$37.8M
Norman Regional Providers Specialty Care	OK	Surgery Physician	$0	$1.9M
Muhammad Anwar	OK	Specialist	$614.1K	$0
Asim Chohan	OK	Cardiovascular Disease Physician	$564.9K	$0
NPI 1255361648	—	—	$405K	$0
Archana Gautam	OK	Cardiovascular Disease Physician	$392.9K	$0
Mudassir Nawaz	OK	Internal Medicine Physician	$260.5K	$18.7K
Muhammad Salim	OK	Cardiovascular Disease Physician	$251.9K	$0
Thomas Merrill	OK	Internal Medicine Physician	$221.2K	$0
Sergio Garcia	OK	Pulmonary Disease Physician	$220.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Emsstat	OK	Land Ambulance	$0	$7.2M
Millennium Community Services LLC	OK	Mental Health Counselor	$0	$5.8M
Behrmann Orthodontics PLLC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Norman Regional Hospital Authority	OK	Emergency Medicine Physician	$0	$5.5M
Millennium Medical Services, L.L.C.	OK	Psychiatry Physician	$0	$3.8M
Oklahoma Mental Health Consulting LLC	OK	Community/Behavioral Health Agency	$0	$2.9M
Cody Commander Psyd PLLC	OK	Clinical Psychologist	$0	$2.4M
Millennium Community Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Dental Depot Of 36th & Tecumseh, PLLC	OK	Dentist	$0	$1.6M
Oklahoma Families First Inc.	OK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$1.6M

Thomas Whalen — 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