Thomas P Dowhan MD PC

Thomas P Dowhan MD PC was paid $69K by Medicaid between Jan 2018 and Oct 2022, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider infoTHOMAS P DOWHAN MD PC
ST ALBANS, VT 05478

33aNPI1134189525assigned 03/28/2006

33bProvider typeOphthalmology Physician

28Total paid$69K

24GClaims1,901

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2022

Compared with peers

Next to other Ophthalmology Physician providers in Vermont

Rank by total paid#5 of 12

Median peer was paid$6K

This provider vs. median11×

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	610	$23K
2019	573	$21K
2020	244	$10K
2021	362	$13K
2022	112	$2K

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	34%	428	417	$24K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	462	431	$18K
92015	Determination of refractive state	14%	824	635	$10K
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	10%	58	53	$7K
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	9.0%	72	72	$6K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.7%	57	53	$5K

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 officialDOWHAN, THOMAS (OWNER PRESIDENT)