Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Thomas, Mark

Thomas, Mark was paid $17K by Medicaid between Nov 2018 and Feb 2020, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.

33Billing provider infoTHOMAS, MARK
DOUGLASVILLE, GA 30135
33aNPI1538190012assigned 07/05/2006
28Total paid$17K
24GClaims387
24DCodes billed5
24AFirst – last monthNov 2018 – Feb 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Georgia

Rank by total paid#51 of 106
Median peer was paid$14K
This provider vs. median1.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201877$3K
2019291$12K
202019$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 44% 94 79 $8K
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 26% 60 58 $4K
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 21% 104 92 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6.6% 80 40 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.5% 49 45 $435.81

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.