Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Percival
    Ask Trek AI about this page

    Thomas Percival — Billing Profile & Reimbursement Data

    NPI 1982864435 · Green Bay, WI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

    Customize your policy alerts

    Sign up for Thomas Percival — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Thomas Percival is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Green Bay, Wisconsin. This profile covers 7 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Percival
    Address2845 Greenbrier Rd
    CityGreen Bay
    StateWI
    ZIP54311
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJune 9, 2008

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

    Payer SourceTotal Paid
    Medicare$33.5K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft20$1,270$25.4K
    99222The 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…20$100$2.3K
    99223The 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…20$130$2.1K
    33268At the same session as a primary procedure requiring sternotomy or thoracotomy, the provider performs exclusion, such as by excision, of the left atrial appendage, a small, pouchlike sac in the top…20$90$1.7K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$40$910
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$60$820
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.20$10$200

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33533225020$780$16.4K
    992231,5942,08030$130$6.1K
    992221,0932,20020$90$3.1K
    3326821020$90$2K
    992317471,09040$40$1.8K
    9922132544020$60$1.4K
    33508225020$10$170

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    Jeffrey ShereWIRetina Specialist (Ophthalmology) Physician$1.5M$0
    Wei-chuan WangWIRetina Specialist (Ophthalmology) Physician$1.3M$0
    Naumit BhandariTXPain Medicine Physician$1.1M$90
    Jorge AlvarezTXInterventional Cardiology Physician$500.5K$0
    Yang XiaTXMOHS-Micrographic Surgery Physician$499.2K$0
    Robert SaadTXCardiovascular Disease Physician$404.9K$0
    David PedersonTXClinical Cardiac Electrophysiology Physician$383.3K$0
    Lofton MisickTXVascular Surgery Physician$375K$0
    John CanalesTXInterventional Cardiology Physician$362.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric LundWIClinical Psychologist$0$77.1M
    Baycare Aurora, LLCWIGeneral Acute Care Hospital$0$25.4M
    County Of BrownWIClinic/Center$0$21.1M
    Caravel Autism Health, LLCWIBehavior Analyst$0$18.5M
    County Of BrownWICommunity/Behavioral Health Agency$0$8.2M
    Visiting Nurse Association Of Wisconsin, Inc.WIHome Infusion Therapy Pharmacy$0$5M
    County Of BrownWICase Management Agency$0$3.3M
    Aegis Group IncWILand Ambulance$1.2M$1.6M
    Visiting Nurse Association Of Wisconsin, IncWIHome Health Agency$0$2.7M
    Orthopedic Surgery Center Of Green Bay, LLCWIAmbulatory Surgical Clinic/Center$2M$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Thomas Percival — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin