Albert, Thomas
Albert, Thomas was paid $60K by Medicaid between Sep 2020 and Jan 2022, across 7 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 29% of everything it billed.
33Billing provider infoALBERT, THOMAS
PLANO, TX 75093
PLANO, TX 75093
33aNPI1780627927assigned 06/14/2006
33bProvider typeSpecialist
28Total paid$60K
24GClaims1,032
24DCodes billed7
24AFirst – last monthSep 2020 – Jan 2022
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#155 of 382
Median peer was paid$29K
This provider vs. median2.1×
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
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 | |
|---|---|---|---|
| 2020 | 194 | $8K | |
| 2021 | 767 | $48K | |
| 2022 | 71 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 29% | 229 | 145 | $17K |
| 76819 | Fetal biophysical profile; without non-stress testing | 29% | 312 | 208 | $17K |
| 76827 | 22% | 282 | 208 | $13K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 16% | 87 | 86 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 72 | 59 | $1K |
| 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 | 1.3% | 16 | 13 | $752.75 |
| 99072 | 0% | 34 | 25 | $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.