Dr. Arthur Thomas, MD
1145 Bower Hill Rd Ste 105, Pittsburgh, PA 15243 • +1-744-555-2204
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Pittsburgh Percentiles
NPI #1104896364 • CBSA Regional • Urology
Dr. Arthur Thomas, MD (NPI #1104896364) practices Urology in Pittsburgh, PA (15243) with sub-specialty concentration in 67 Active CMS HCPCS Codes, recording 4,260 annual CMS services across 670 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (72.73th Pittsburgh percentile) (-0.06σ vs PA state mean, 62.12th statewide percentile).
Fee-schedule auditing of NPI 1104896364 highlights 914 annual claims for 99214 (72.73th Pittsburgh percentile; $81–$111 self-pay corridor) plus 685 encounters under 51798 and 431 under 52000.
Direct cash-pay transparency modeling sets Dr. Thomas's baseline new-consult rate near $209.00 in Pittsburgh, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Patients evaluating Dr. Arthur Thomas in ZIP 15243 note 23 years of post-doctoral tenure (null, 2003) alongside 6.4 annual CMS procedures per patient.
Compared against Pittsburgh, PA Urology peers
4,260 annual services across 670 beneficiaries
Standard deviations from PA Urology 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 Urologic, BPH & Androgen Evaluation | 914 | 72.73th | $81 – $111 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 685 | 74.73th | $34 – $49 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 431 | 68.73th | $165 – $226 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 305 | 74.73th | $46 – $63 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 203 | 72.73th | $114 – $156 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (67 HCPCS billing breadth) | 1,722 | 72.73th | $73 – $106 |
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Dr. Arthur Thomas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Thomas National Provider Identifier | NPI #1104896364 (MD) | CMS NPPES Registry (15243) |
| Dr. Thomas Pittsburgh CMS Volume Rank | 72.73th Pct (4,260 CMS svcs; Z -0.059σ) | CMS Medicare Part B (PA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pittsburgh, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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