Mcdonald, Thomas

Mcdonald, Thomas was paid $253K by Medicaid between Jul 2018 and May 2024, across 4 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 76% of everything it billed.

33Billing provider infoMCDONALD, THOMAS
MARTINEZ, CA 94553

33aNPI1710948427assigned 03/31/2006

33bProvider typeOphthalmology Physician

28Total paid$253K

24GClaims1,027

24DCodes billed4

24AFirst – last monthJul 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#196 of 759

Median peer was paid$35K

This provider vs. median7.2×

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	204	$94K
2019	88	$20K
2020	85	$4K
2021	206	$32K
2022	269	$60K
2023	129	$24K
2024incomplete	46	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	76%	245	220	$191K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	283	283	$34K
92136		7.6%	429	412	$19K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.1%	70	68	$8K

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.