Physician
Thomas, Wayne
Thomas, Wayne was paid $365K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoTHOMAS, WAYNE
DECATUR, AL 35603
DECATUR, AL 35603
33aNPI1881688968assigned 09/06/2005
33bProvider typeFamily Medicine Physician
28Total paid$365K
24GClaims10,887
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#107 of 455
Median peer was paid$57K
This provider vs. median6.4×
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 | 1,866 | $57K | |
| 2019 | 2,403 | $56K | |
| 2020 | 1,675 | $55K | |
| 2021 | 1,684 | $69K | |
| 2022 | 1,559 | $57K | |
| 2023 | 1,237 | $49K | |
| 2024incomplete | 463 | $21K |
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 | 66% | 7,073 | 4,902 | $239K |
| 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 | 26% | 2,397 | 1,629 | $96K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 240 | 191 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 241 | 182 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 142 | 131 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | 26 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | 69 | $901.36 |
| 90686 | <1% | 87 | 82 | $880.72 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 260 | 184 | $726.33 |
| 90651 | <1% | 14 | 12 | $514.22 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | 12 | $446.32 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 54 | 35 | $368.80 |
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.