Managed care
Powers, Thomas
Powers, Thomas was paid $149K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPOWERS, THOMAS
BROOKLYN, NY 11229
BROOKLYN, NY 11229
33aNPI1447343439assigned 10/02/2006
33bProvider typeExclusive Provider Organization
28Total paid$149K
24GClaims9,919
24DCodes billed27
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Exclusive Provider Organization providers in New York
Rank by total paid#11 of 24
Median peer was paid$123K
This provider vs. median1.2×
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 | 863 | $17K | |
| 2019 | 1,598 | $25K | |
| 2020 | 2,467 | $34K | |
| 2021 | 2,514 | $32K | |
| 2022 | 2,151 | $37K | |
| 2023 | 326 | $5K |
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 | 38% | 1,285 | 1,157 | $56K |
| 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 | 22% | 652 | 589 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,018 | 1,010 | $17K |
| 97802 | 5.6% | 850 | 848 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 119 | 119 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 208 | 206 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 83 | 83 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 695 | 694 | $3K |
| 92588 | 2.1% | 515 | 514 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 58 | 58 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 879 | 874 | $3K |
| 99173 | 1.1% | 773 | 769 | $2K |
15 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 175 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 128 | $909.21 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 122 | $691.31 |
| 81001 | <1% | 628 | $576.32 | |
| 94760 | <1% | 279 | $281.05 | |
| 81003 | <1% | 340 | $262.94 | |
| 96152 | <1% | 127 | $236.58 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 142 | $204.31 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $198.01 |
| 90686 | <1% | 226 | $164.31 | |
| 90461 | <1% | 29 | $147.15 | |
| 87081 | <1% | 61 | $94.19 | |
| 99000 | <1% | 429 | $89.77 | |
| 92558 | <1% | 43 | $27.36 | |
| 1000F | 0% | 30 | $0.00 |
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.