Thomas, John

Thomas, John was paid $185K by Medicaid between Jan 2018 and Sep 2020, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.

33Billing provider infoTHOMAS, JOHN
NASHVILLE, TN 37232

33aNPI1295762797assigned 06/28/2006

33bProvider typePediatric Surgery Physician

28Total paid$185K

24GClaims2,381

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Pediatric Surgery Physician providers in Tennessee

Rank by total paid#1 of 5

Median peer was paid$15K

This provider vs. median12×

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	1,103	$80K
2019	913	$73K
2020	365	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	764	716	$73K
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	37%	469	426	$68K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	474	446	$26K
76775		4.4%	293	272	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.0%	214	207	$7K
54161		1.4%	14	12	$3K
81003		<1%	153	137	$254.77

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.