Physician
OIG excluded
Thomas, Manuel
Thomas, Manuel was paid $181K by Medicaid between Jan 2018 and Oct 2018, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoTHOMAS, MANUEL
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1790870558assigned 10/04/2006
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$181K
24GClaims7,365
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Wisconsin
Rank by total paid#4 of 8
Median peer was paid$2K
This provider vs. median73×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (02/20/2022).
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 | 7,365 | $181K |
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 | 32% | 1,835 | 1,149 | $59K |
| 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 | 27% | 1,076 | 809 | $49K |
| 99354 | 26% | 663 | 393 | $48K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 4.3% | 105 | 14 | $8K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.5% | 40 | 31 | $5K |
| 99000 | 2.1% | 1,306 | 951 | $4K | |
| 99402 | 1.4% | 156 | 85 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 44 | 33 | $2K |
| 80305 | <1% | 193 | 161 | $2K | |
| 11100 | <1% | 32 | 16 | $1K | |
| 3008F | <1% | 1,827 | 1,270 | $890.00 | |
| 99173 | <1% | 40 | 33 | $247.00 |
1 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $135.71 |
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.