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

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

Drew Thomas (NPI 1942644083)

Field	Value
Entity Type	Individual
Organization	Drew Thomas
Address	1814 Lincoln Way
City	Coeur D Alene
State	ID
ZIP	83814
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 19, 2013

Payer Source	Total Paid
Medicare	$774.2K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: Total Medicare revenue is $774.2K and there is no Medicaid billing on file, so payer mix is heavily concentrated on Medicare beneficiaries rather than a dual Medicare/Medicaid population. That lack of Medicaid volume implies limited exposure to state-program patients and suggests contracting or referral patterns primarily oriented toward Medicare.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 78.6% of this provider's total Medicare revenue, indicating that a small set of services drives the majority of income. Those principal codes (highlighted below) should be the focus for operational and reimbursement analyses.

Service-line profile points to a mixed surgical and medical-retina ophthalmology practice: J0178 (600 claims, $688 avg paid/claim, $412.8K revenue) is the largest single revenue driver and represents aflibercept intravitreal injections, while 66984 (308 claims, $391 avg paid/claim, $120.4K revenue) reflects cataract extraction with intraocular lens implantation. Together with high volumes of diagnostic imaging and injection procedure 67028 (467 claims, $85 avg paid/claim, $39.7K revenue), the code mix indicates the practice performs both in-office retina injections and cataract surgeries.

Operational support for retinal care appears robust: 92134 (842 claims, $23.6K revenue) ranks in the 91th percentile nationally and 92136 (522 claims, $8.9K revenue) ranks in the 93th percentile, suggesting routine use of retinal and biometric imaging to support injection and post-operative management. These imaging codes complement the high J0178 volume and are consistent with an office workflow that emphasizes medical retina services.

Competitive standing varies by service: for the largest revenue code J0178 the provider ranks #1772 of 3204 (45th percentile) which is described as typical, unremarkable volume nationally, indicating the provider is not a dominant national aflibercept injector. By contrast, 92014 (988 claims, $75.1K revenue) ranks #1697 of 35415 (95th percentile; notably above typical national volume), identifying the provider as a high-volume deliverer of comprehensive established-patient eye exams relative to peers.

Cataract surgical activity is above-average but not dominant: 66984 ranks #3962 of 15965 (75th percentile; typical, unremarkable volume) and contributes $120.4K (15.6% of Medicare revenue), marking cataract surgery as a meaningful but not market-leading component of the business. This profile suggests steady surgical throughput that materially diversifies revenue beyond injections.

Other procedural and supply codes are present but smaller: J7999 (228 claims, $15.7K revenue) and 66821 (61 claims, $16.8K revenue) appear at typical volumes, and 67028 (injection procedure code) contributes $39.7K (5.1% of revenue) which reinforces that injections are billed both as drug (J0178) and procedure (67028). These secondary codes support the primary medical-retina and cataract service lines rather than indicating separate high-revenue streams.

Tenure and practice stability: the NPI was enumerated on 2013-04-19 (~13 years ago), indicating more than a decade of billing history under this identifier. That tenure combined with concentrated Medicare revenue and repeated high-percentile imaging and exam volumes suggests an established local practice with consistent Medicare-facing clinical activity.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	600	$690	$412.8K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	310	$390	$120.4K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	990	$80	$75.1K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	470	$90	$39.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	570	$60	$32.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	840	$30	$23.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$280	$16.8K
J7999	Compounded drug, not otherwise classified	230	$70	$15.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	180	$90	$15.3K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	520	$20	$8.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Drew Thomas — 4 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	20	670	$690	$541.7K
66984	16	150	40	$520	$76K
67028	14	30	470	$90	$66.6K
J7999	10	20	200	$70	$18.9K
66821	27	60	60	$200	$18.3K
92014	5	230	120	$70	$15.5K
99214	2,162	2,690	90	$70	$10.4K
92012	2	70	100	$60	$10.2K
92134	12	190	60	$30	$5.9K
92136	5	50	170	$20	$5.1K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Balagopalan Nair	AR	Hematology & Oncology Physician	$4.1M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Kirtan Koticha	LA	Hematology & Oncology Physician	$3.1M	$0
Rochelle Robicheaux Metoyer	LA	Rheumatology Physician	$2.9M	$0
Jonathan Tzu	TX	Ophthalmology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Washington, Inc	ID	In Home Supportive Care Agency	$0	$31.9M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$13.6M
Coeur D'alene Pediatrics PA	ID	Pediatrics Physician	$0	$11.6M
Coeur D'alene School District #271	ID	Local Education Agency (LEA)	$0	$9.8M
Ambitions Of Idaho, Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7.1M
Kootenai Health, Inc.	ID	General Acute Care Hospital	$0	$7M
Family Support Services Of North Idaho	ID	Mental Health Counselor	$0	$6.9M
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.7M
Kootenai Health, Inc.	ID	Psychiatry Physician	$0	$6.7M

Drew Thomas — Billing Profile & Reimbursement Data

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Drew Thomas — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References