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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Fuller (NPI 1972865335)

Field	Value
Entity Type	Individual
Organization	Thomas Fuller
Address	1100 9th Ave
City	Seattle
State	WA
ZIP	98101
Taxonomy	Urology Physician
NPI Enumerated	June 12, 2012

Payer Source	Total Paid
Medicare	$66.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	260	$90	$23K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	150	$60	$9K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	10	$610	$8.5K
99204	The 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	$6.9K
99213	The 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…	100	$60	$5.5K
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…	30	$110	$3K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$130	$2.1K
99215	The 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…	20	$110	$1.9K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	20	$80	$1.6K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	10	$110	$1.2K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Thomas Fuller — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	28	180	90	$140	$14.4K
99214	1,951	10,860	100	$80	$13.6K
52601	18	30	20	$640	$12.2K
51728	26	40	30	$220	$8.5K
99215	3,486	4,320	40	$120	$8.4K
99213	3,249	9,690	60	$60	$6.5K
99204	1,063	4,750	30	$110	$5.2K
52310	66	70	20	$230	$4.8K
51797	22	40	20	$110	$3.7K
36415	910	1,920	60	$10	$3.5K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington Institute For Coagulation	WA	Community/Retail Pharmacy	$656.3K	$117M
Virginia Mason Medical Center	WA	General Acute Care Hospital	$0	$19.2M
Therapeutic Health Services	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$863.9K	$15.7M
Ch Mh Services (wa), LLC	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Hodges Lee Fukano & Moazzeni PLLC	WA	Dental Clinic/Center	$0	$4.1M
Janet Chieh	WA	Ophthalmology Physician	$622.7K	$0
Ravi Krishnan	WA	MOHS-Micrographic Surgery Physician	$399.5K	$0
Kelly Griffith-bauer	WA	MOHS-Micrographic Surgery Physician	$378.1K	$0
Thomas Curtis	WA	Physical Medicine & Rehabilitation Physician	$375.3K	$0
Benjamin Wayment	WA	Physical Medicine & Rehabilitation Physician	$338.9K	$0

Thomas Fuller — Billing Profile & Reimbursement Data

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Thomas Fuller — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References