Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Indianapolis › NPI 1619074812
Physician

Clarence H Thomas MD LLC

Clarence H Thomas MD LLC was paid $658K by Medicaid between Jan 2018 and Nov 2021, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoCLARENCE H THOMAS MD LLC
INDIANAPOLIS, IN 46221
33aNPI1619074812assigned 09/20/2006
28Total paid$658K
24GClaims15,991
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Family Medicine Physician providers in Indiana

Rank by total paid#85 of 408
Median peer was paid$81K
This provider vs. median8.1×

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$10K$20K$30K2018201920202021202220232024
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
20184,943$89K
20194,618$214K
20203,204$147K
20213,226$209K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 8,185 7,314 $351K
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 39% 3,118 2,923 $255K
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 2.7% 129 126 $18K
99307 1.0% 236 196 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 59 57 $5K
36415 Collection of venous blood by venipuncture <1% 1,875 1,719 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 446 398 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 417 398 $3K
90756 <1% 180 170 $3K
99304 <1% 37 35 $2K
90674 <1% 68 63 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 17 15 $1K
15 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 86 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 79 $717.42
81002 <1% 167 $459.41
99441 <1% 37 $341.76
93040 <1% 27 $199.53
93000 <1% 12 $159.67
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 42 $90.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 28 $34.66
82962 <1% 12 $30.30
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 370 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 95 $0.00
G8482 Influenza immunization administered or previously received 0% 48 $0.00
4004F 0% 14 $0.00
3017F 0% 138 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 69 $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, CLARENCE (OWNER)
Same official

Other billing entities under THOMAS, CLARENCE

Full network →
ProviderLocationPaid
DR. Clarence L. Thomas III, D.D.S.Xenia, OH$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.