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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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 Austin (NPI 1982749438)

Field	Value
Entity Type	Individual
Organization	Thomas Austin
Address	Middle Road
City	Saipan
State	MP
ZIP	96950
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicare	$3.3K
Medicaid	$0

Key Findings

THOMAS AUSTIN is effectively a single-payer Medicare biller with Total Medicare revenue of $3.3K and no Medicaid billing on file; this profile indicates the provider’s public-payer activity is concentrated entirely in Medicare rather than a mixed Medicare/Medicaid practice.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, indicating nearly all Medicare dollars come from a very small set of office E/M services rather than procedure-based or facility codes.

The two specific Medicare codes driving revenue are 99213 ($2.5K, 74.9% of Medicare revenue) and 99212 ($840, 25.1% of Medicare revenue), which together account for all reported Medicare revenue; this mix suggests the practice’s Medicare work is dominated by low- to moderate-complexity outpatient evaluation and management visits.

Case volume for the highest-revenue code 99213 is modest: 50 claims with an average paid of $50 per claim, and the provider ranks #284099 of 457151 nationally (37th percentile). That rank places the provider in a typical, unremarkable volume position for 99213 rather than as a high-volume or dominant national provider.

For 99212, the provider submitted 30 claims with an average paid of $28 per claim and $840 in revenue, ranking #50236 of 99011 providers nationally (48th percentile). This percentile and rank indicate similarly typical, unremarkable activity for this lower-complexity established-patient E/M code.

The NPI was enumerated on 2007-02-21 (approximately 19 years ago), so the provider has a long tenure in the Medicare program; despite long registration, current billed Medicare revenue is very small in absolute terms ($3.3K lifetime).

Given the code mix (99213 and 99212 only), operationally the provider appears focused on ambulatory office visits rather than surgical orthopaedic procedures or hospital-based care; this is notable because the provider taxonomy is Orthopaedic Surgery Physician but billed Medicare services here are limited to outpatient E/M visits.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$50	$2.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

Thomas Austin — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	4	10	40	$40	$3.1K
99212	2	10	30	$20	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0

Thomas Austin — Billing Profile & Reimbursement Data

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Thomas Austin — 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

Nearby Providers

Frequently Asked Questions

References