Thomas S. Duncan

Thomas S. Duncan was paid $30K by Medicaid between Jan 2018 and Sep 2021, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoTHOMAS S. DUNCAN
ASTORIA, OR 97103

33aNPI1043554835assigned 11/16/2012

33bProvider typeGeneral Practice Physician

28Total paid$30K

24GClaims479

24DCodes billed2

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other General Practice Physician providers in Oregon

Rank by total paid#19 of 23

Median peer was paid$112K

This provider vs. median0.3×

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	216	$17K
2019	181	$10K
2020	51	$2K
2021	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	192	157	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49%	287	231	$15K

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.

From NPPES

Who's on the registration

Authorized officialDUNCAN, THOMAS (OWNER)