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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Leahey
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    Thomas Leahey — Billing Profile & Reimbursement Data

    NPI 1891886545 · Ardmore, OK · Rheumatology Physician

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    Thomas Leahey is a rheumatology physician provider located in Ardmore, Oklahoma. This profile covers 31 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
    OrganizationThomas Leahey
    Address2015 W Broadway St Ste 2a
    CityArdmore
    StateOK
    ZIP73401
    TaxonomyRheumatology Physician
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$759.1K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, 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)10,550$30$337.6K
    J1602Injection, golimumab, 1 mg, for intravenous use24,060$10$240.6K
    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…620$80$49.8K
    96413Chemotherapy 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…340$90$31.8K
    J0897Injection, denosumab, 1 mg1,210$20$21.7K
    99213The 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…240$60$14.6K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…170$40$6.1K
    99204The provider sees a new 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 provider…60$110$6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.570$10$5.7K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…320$20$5.4K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129121016,680$30$661.9K
    J1602112025,400$10$412.3K
    J089760702,130$20$91.2K
    964131960210$90$26.4K
    992145835,560130$70$18.4K
    823062412040$30$13K
    8005320280100$10$12.4K
    862351430310$20$11.7K
    8006118621070$10$11.5K
    992131,0425,45080$50$8.7K

    Showing 1–10 of 31

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chickasaw Nation Division Of HealthOKPrimary Care Clinic/Center$0$30.6M
    Mercy Hospital Ardmore, Inc.OKGeneral Acute Care Hospital$0$18.1M
    Lighthouse Behavioral Wellness CentersOKMental Health Clinic/Center (Including Community Mental Health Center)$0$9.3M
    Lighthouse Behavioral Wellness CentersOKCommunity/Behavioral Health Agency$0$7.6M
    Good Shepherd Community Clinic, Inc.OKFederally Qualified Health Center (FQHC)$0$6M
    Southern Oklahoma Ambulance Service, Inc.OKLand Ambulance$1.1M$3.5M
    Lynch Family Services LLCOKMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Scott CooperOKMedical Physician Assistant$4.4M$0
    Lighthouse Behavioral Wellness CentersOKCommunity/Behavioral Health Agency$0$4.2M
    Family Practice AssociatesOKFamily Medicine Physician$0$4.2M

    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. Oklahoma Distribution
    Thomas Leahey — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma