Physician
Antonio Thomas, MD, LLC
Antonio Thomas, MD, LLC was paid $417K by Medicaid between Jan 2018 and Mar 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoANTONIO THOMAS, MD, LLC
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1568580389assigned 03/27/2007
33bProvider typePediatrics Physician
28Total paid$417K
24GClaims16,985
24DCodes billed30
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#195 of 549
Median peer was paid$154K
This provider vs. median2.7×
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 | 2,775 | $96K | |
| 2019 | 2,551 | $83K | |
| 2020 | 2,188 | $55K | |
| 2021 | 2,358 | $50K | |
| 2022 | 3,497 | $60K | |
| 2023 | 2,989 | $59K | |
| 2024incomplete | 627 | $14K |
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 | 67% | 5,738 | 5,155 | $278K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 1,275 | 1,264 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.5% | 2,869 | 2,845 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 360 | 357 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 307 | 307 | $17K |
| 92587 | 2.9% | 607 | 607 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 632 | 622 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 154 | 154 | $8K |
| 92558 | <1% | 898 | 885 | $4K | |
| 90461 | <1% | 166 | 166 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 200 | 178 | $2K |
| 0001A | <1% | 51 | 50 | $2K |
18 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 329 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $921.48 |
| 87807 | <1% | 283 | $880.38 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $783.90 |
| 0072A | <1% | 19 | $760.00 | |
| 0002A | <1% | 19 | $760.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 69 | $737.36 |
| 99173 | <1% | 995 | $674.81 | |
| 90686 | <1% | 145 | $390.59 | |
| 90734 | <1% | 17 | $267.78 | |
| 90670 | <1% | 24 | $226.43 | |
| 90688 | <1% | 46 | $70.33 | |
| 3008F | <1% | 1,227 | $5.00 | |
| 99000 | 0% | 242 | $0.00 | |
| 91307 | 0% | 22 | $0.00 | |
| 99070 | 0% | 61 | $0.00 | |
| 99072 | 0% | 70 | $0.00 | |
| 91300 | 0% | 66 | $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.
From NPPES
Who's on the registration
Authorized officialTHOMAS, ANTONIO (PEDIATRICIAN & PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Show Me Care INC | Creve Coeur, MO | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.