Hammer, Thomas

Hammer, Thomas was paid $564K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoHAMMER, THOMAS
NAMPA, ID 83687

33aNPI1053301911assigned 10/24/2005

33bProvider typePediatrics Physician

28Total paid$564K

24GClaims10,486

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Idaho

Rank by total paid#12 of 22

Median peer was paid$564K

This provider vs. median1.0×

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	1,908	$92K
2019	2,025	$106K
2020	1,504	$66K
2021	1,492	$75K
2022	1,516	$92K
2023	907	$56K
2024incomplete	1,134	$77K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	4,291	3,841	$304K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	14%	807	794	$80K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.8%	435	422	$38K
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	6.7%	427	407	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.7%	371	371	$38K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	6.0%	1,884	1,859	$34K
90472	Immunization administration, each additional vaccine (list separately)	3.6%	1,032	1,019	$20K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	74	73	$8K
90473		<1%	203	203	$3K
90474		<1%	36	36	$434.88
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	27	$366.60
90655		<1%	33	33	$15.80

9 more codes

90686	<1%	298	$6.78
90672	<1%	206	$1.94
90670	<1%	128	$1.25
90656	<1%	106	$1.00
90723	<1%	39	$0.39
90647	<1%	36	$0.36
90680	<1%	24	$0.24
90633	<1%	15	$0.15
90677	<1%	14	$0.14

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.