Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Thompson, Theron

Thompson, Theron was paid $80K by Medicaid between Jan 2018 and Jan 2021, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 42% of everything it billed.

33Billing provider infoTHOMPSON, THERON
ROME, GA 30165
33aNPI1033185681assigned 02/24/2006
28Total paid$80K
24GClaims1,402
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Family Medicine Physician providers in Georgia

Rank by total paid#47 of 162
Median peer was paid$12K
This provider vs. median6.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018307$18K
2019850$48K
2020214$12K
202131$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 42% 508 383 $33K
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 29% 389 349 $23K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 311 292 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 137 66 $479.54
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 38 36 $211.12
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 19 19 $0.00

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.