Crain, Thomas

Crain, Thomas was paid $280K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 93005, Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report — 59% of everything it billed.

33Billing provider infoCRAIN, THOMAS
PROVIDENCE, RI 02906

33aNPI1003871856assigned 04/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$280K

24GClaims3,560

24DCodes billed8

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Rhode Island

Rank by total paid#4 of 65

Median peer was paid$19K

This provider vs. median14×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	256	$7K
2019	60	$2K
2020	373	$28K
2021	722	$156K
2022	777	$39K
2023	711	$31K
2024incomplete	661	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	59%	1,020	945	$166K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	27%	733	712	$76K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.7%	171	166	$16K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	4.3%	1,346	1,299	$12K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	2.2%	50	48	$6K
93018		1.2%	213	205	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$605.56
93016		<1%	15	15	$366.66

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.