Dr. John Thomas, DO
4545 R St, 100, Lincoln, NE 68503 • +1-235-555-6925
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Lincoln Percentiles
NPI #1265637151 • CBSA Regional • Gastroenterology
CMS Medicare Part B utilization records credit Dr. John Thomas (DO, NPI 1265637151) at 4545 R St, 100 in Lincoln with 8,655 annual clinical services (556 beneficiaries), corresponding to a -0.32σ regional deviation and focused low-volume boutique caseload (28.57th Lincoln percentile) with sub-specialty concentration in 55 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1265637151 highlights 332 annual claims for 99214 (28.57th Lincoln percentile; $55–$76 self-pay corridor) plus 224 encounters under 45380 and 188 under 43239.
For out-of-network patients contacting +1-235-555-6925, Dr. Thomas's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.75/5 composite reality score over 10 submissions).
Patients evaluating Dr. John Thomas in ZIP 68503 note 30 years of post-doctoral tenure (null, 1996) alongside 15.6 annual CMS procedures per patient.
Compared against Lincoln, NE Gastroenterology peers
8,655 annual services across 556 beneficiaries
Standard deviations from NE Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 332 | 28.57th | $55 – $76 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 224 | 25.57th | $133 – $182 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 188 | 28.57th | $110 – $151 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 90 | 30.57th | $148 – $203 |
| 99204 | New Patient Digestive & Hepatology Consultation | 63 | 33.57th | $78 – $107 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (55 HCPCS billing breadth) | 7,758 | 28.57th | $52 – $75 |
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Dr. John Thomas, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Thomas National Provider Identifier | NPI #1265637151 (DO) | CMS NPPES Registry (68503) |
| Dr. Thomas Lincoln CMS Volume Rank | 28.57th Pct (8,655 CMS svcs; Z -0.324σ) | CMS Medicare Part B (NE Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lincoln, NE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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