Physician
Thornton, Thomas
Thornton, Thomas was paid $101K by Medicaid between Jan 2018 and Jan 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoTHORNTON, THOMAS
UPPER SANDUSKY, OH 43351
UPPER SANDUSKY, OH 43351
33aNPI1437111457assigned 04/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$101K
24GClaims2,797
24DCodes billed2
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#237 of 739
Median peer was paid$30K
This provider vs. median3.4×
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 | 1,092 | $40K | |
| 2019 | 713 | $26K | |
| 2020 | 570 | $19K | |
| 2021 | 405 | $16K | |
| 2022 | 17 | $665.05 |
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 | 81% | 2,340 | 1,123 | $82K |
| 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 | 19% | 457 | 304 | $19K |
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.