Dr. Thomas Thomas, MD

NPI: 1225011968
Total Payments
$47,809
2024 Payments
$0
Companies
6
Transactions
16
Medicare Patients
2,647
Medicare Billing
$430,667

Payment Breakdown by Category

Royalty/License$44,557 (93.2%)
Education$1,588 (3.3%)
Travel$1,257 (2.6%)
Food & Beverage$406.31 (0.8%)

Payments by Nature

Nature of Payment Amount Transactions Share
Royalty or License $44,557 4 93.2%
Education $1,588 2 3.3%
Travel and Lodging $1,257 1 2.6%
Food and Beverage $406.31 6 0.8%
Unspecified $0 3 0.0%

Payments by Type

General
$47,809
13 transactions
Ownership
$0
3 transactions

Top Paying Companies

Company Total Records Latest Year
NextStep Arthropedix, LLC $46,105 7 $0 (2021)
Sequoia Surgical, Inc. $1,588 2 $0 (2019)
Smith+Nephew, Inc. $50.56 2 $0 (2020)
Stryker Corporation $33.88 1 $0 (2021)
DePuy Synthes Sales Inc. $30.92 1 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $0 1 Lazurite Inc.
2023 $0 1 Lazurite Inc.
2022 $0 1 Lazurite Holdings LLC
2021 $9,623 2 NextStep Arthropedix, LLC ($9,589)
2020 $1,461 3 NextStep Arthropedix, LLC ($1,426)
2019 $16,608 6 NextStep Arthropedix, LLC ($14,972)
2018 $11,760 1 NextStep Arthropedix, LLC ($11,760)
2017 $8,358 1 NextStep Arthropedix, LLC ($8,358)

All Payment Transactions

16 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
2024 Lazurite Inc. $0.00 Ownership
2023 Lazurite Inc. $0.00 Ownership
2022 Lazurite Holdings LLC $0.00 Ownership
07/19/2021 Stryker Corporation SPS (Device) Food and Beverage In-kind items and services $33.88 General
Category: NON-LOCKING PLATE
05/28/2021 NextStep Arthropedix, LLC iNSitu Hip System (Device) Royalty or License Cash or cash equivalent $9,588.87 General
Category: Orthopedic Surgery
02/20/2020 NextStep Arthropedix, LLC iNSitu Hip System (Device) Travel and Lodging Cash or cash equivalent $1,257.46 General
Category: Orthopedic Surgery
01/13/2020 NextStep Arthropedix, LLC iNSitu Hip System (Device) Food and Beverage Cash or cash equivalent $168.95 General
Category: Orthopedic Surgery
01/09/2020 Smith+Nephew, Inc. PICO7 (Device) Food and Beverage In-kind items and services $34.41 General
Category: Negative Pressure Wound Therapy
11/13/2019 NextStep Arthropedix, LLC iNSitu Hip System (Device) Food and Beverage Cash or cash equivalent $122.00 General
Category: Orthopedic Surgery
11/12/2019 DePuy Synthes Sales Inc. ORTHOVISC (Device) Food and Beverage In-kind items and services $30.92 General
Category: Sports Early Intervention
10/01/2019 Sequoia Surgical, Inc. Education In-kind items and services $794.00 General
10/01/2019 Smith+Nephew, Inc. PICO 7 Single Use Negative Pressure Wound Therapy (Device) Food and Beverage In-kind items and services $16.15 General
Category: Negative Pressure Wound Therapy
09/23/2019 Sequoia Surgical, Inc. Education In-kind items and services $794.00 General
02/19/2019 NextStep Arthropedix, LLC iNSitu Hip System (Device) Royalty or License Cash or cash equivalent $14,850.44 General
Category: Orthopedic Surgery
02/16/2018 NextStep Arthropedix, LLC iNSitu Hip System (Device) Royalty or License Cash or cash equivalent $11,759.60 General
Category: Orthopedic Surgery
02/15/2017 NextStep Arthropedix, LLC iNSitu Hip System (Device) Royalty or License Cash or cash equivalent $8,358.14 General
Category: Orthopedic Surgery

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2021 18 1,477 2,030 $1.1M $243,236
2020 18 1,170 1,451 $1.0M $187,431
Total Patients
2,647
Total Services
3,481
Medicare Billing
$430,667
Procedure Codes
36

All Medicare Procedures & Services

36 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
23472 Prosthetic repair of shoulder joint, total shoulder Facility 2021 40 43 $253,115 $49,879 19.7%
27447 Repair of knee joint, lower or upper part of joint, inside and outside area Facility 2021 47 47 $240,464 $49,584 20.6%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 216 342 $117,040 $33,646 28.7%
27130 Replacement of thigh bone and hip joint prosthesis Facility 2021 24 24 $150,800 $24,083 16.0%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 192 265 $61,687 $18,220 29.5%
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose Office 2021 11 13 $20,735 $12,678 61.1%
23430 Anchoring of biceps tendon Facility 2021 33 35 $80,640 $10,444 13.0%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 82 82 $39,506 $9,200 23.3%
20610 Aspiration and/or injection of large joint or joint capsule Office 2021 114 170 $34,446 $8,766 25.4%
73562 X-ray of knee, 3 views Office 2021 110 189 $21,170 $6,234 29.4%
73502 X-ray of hip with pelvis, 2-3 views Office 2021 83 137 $18,298 $5,037 27.5%
73030 X-ray of shoulder, minimum of 2 views Office 2021 105 180 $16,900 $4,838 28.6%
99215 Established patient outpatient visit, total time 40-54 minutes Office 2021 31 31 $13,221 $4,545 34.4%
73221 Mri scan of arm joint Office 2021 16 18 $21,052 $2,475 11.8%
93000 Routine ekg using at least 12 leads including interpretation and report Office 2021 133 147 $10,662 $1,715 16.1%
J1040 Injection, methylprednisolone acetate, 80 mg Office 2021 90 132 $2,940 $1,108 37.7%
36415 Insertion of needle into vein for collection of blood sample Office 2021 136 161 $3,451 $483.00 14.0%
71046 X-ray of chest, 2 views Office 2021 14 14 $1,135 $298.96 26.3%
23472 Prosthetic repair of shoulder joint Facility 2020 46 47 $324,100 $54,432 16.8%
27447 Repair of knee joint Facility 2020 25 25 $190,000 $27,033 14.2%
27130 Replacement of thigh bone and hip joint prosthesis Facility 2020 20 20 $130,000 $22,294 17.1%
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose Office 2020 14 16 $25,520 $12,999 50.9%
99213 Established patient office or other outpatient visit, typically 15 minutes Office 2020 160 223 $47,053 $12,752 27.1%
23430 Anchoring of biceps tendon Facility 2020 37 38 $91,200 $11,496 12.6%
99214 Established patient office or other outpatient, visit typically 25 minutes Office 2020 102 119 $36,890 $9,582 26.0%

About Dr. Thomas Thomas, MD

Dr. Thomas Thomas, MD is a Orthopaedic Surgery healthcare provider based in Fresno, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/28/2005. The National Provider Identifier (NPI) number assigned to this provider is 1225011968.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Thomas Thomas, MD has received a total of $47,809 in payments from pharmaceutical and medical device companies, with $0 received in 2024. These payments were reported across 16 transactions from 6 companies. The most common payment nature is "Royalty or License" ($44,557).

As a Medicare-enrolled provider, Thomas has provided services to 2,647 Medicare beneficiaries, totaling 3,481 services with total Medicare billing of $430,667. Data is available for 2 years (2020–2021), covering 36 distinct procedure/service records.

Practice Information

  • Specialty Orthopaedic Surgery
  • Location Fresno, CA
  • Active Since 11/28/2005
  • Last Updated 07/08/2007
  • Taxonomy Code 207X00000X
  • Entity Type Individual
  • NPI Number 1225011968

Products in Payments

  • iNSitu Hip System (Device) $46,105
  • PICO7 (Device) $34.41
  • SPS (Device) $33.88
  • ORTHOVISC (Device) $30.92
  • PICO 7 Single Use Negative Pressure Wound Therapy (Device) $16.15

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Orthopaedic Surgery Doctors in Fresno