Gordon, Thomas
Gordon, Thomas was paid $87K by Medicaid between Jan 2018 and Jun 2021, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.
33Billing provider infoGORDON, THOMAS
SOUTH CASCO, ME 04077
SOUTH CASCO, ME 04077
33aNPI1023181062assigned 11/16/2006
33bProvider typeOptometrist
28Total paid$87K
24GClaims3,855
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Optometrist providers in Maine
Rank by total paid#44 of 94
Median peer was paid$70K
This provider vs. median1.2×
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 | 1,060 | $22K | |
| 2019 | 1,127 | $27K | |
| 2020 | 972 | $22K | |
| 2021 | 696 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 54% | 1,058 | 987 | $47K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 397 | 359 | $21K |
| 92250 | 15% | 425 | 402 | $13K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.5% | 345 | 335 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 41 | 39 | $1K |
| 92015 | Determination of refractive state | <1% | 1,589 | 1,469 | $67.00 |
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.