SHAWN THOMAS, D.O.
Urology Physician · ORMOND BEACH, FL
Individual Active NPI 1043416506
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 280 | 798 | $294,559 | $94,288 | $73,171 |
| 2023 | 242 | 730 | $403,638 | $83,751 | $63,660 |
| 2022 | 220 | 751 | $429,902 | $86,882 | $66,763 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 143 | $49 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 129 | $88 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 96 | $162 | $124 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 87 | $124 | $95 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 47 | $227 | $181 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 46 | $82 | $65 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 34 | $55 | $42 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 | $109 | $78 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 25 | $23 | $19 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 20 | $22 | $16 |
| 52332 | Insertion of stent in ureter using an endoscope | 17 | $144 | $114 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | $168 | $134 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | OS10348 | FL |
| Urology Physician | 208800000X | 0S013305 | PA | |
| Urology Physician | 208800000X | 2603 | WV |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.