JOHN D THOMAS, PT
NPI 1447696588, individual, Rising Sun, MD, Physical Therapist
- Hours beyond a day in 1 month, but with up to 24 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 1.4 | 38.9 | 25.9 | 36.3 | 24 | 1 | 97110 97530 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN D THOMAS, PT |
| Type | Individual |
| Status | Active |
| NPI issued | May 16, 2013, last updated November 21, 2014 |
| Practice location | 52 RISING SUN TOWN CTR, Rising Sun, MD 21911-1902, 410-658-0100 |
| Mailing address | 790 REMINGTON BLVD, Bolingbrook, IL 60440-4909 |
| Specialties | Physical Therapist (225100000X, license J1-0003031 DE) Physical Therapist (225100000X, license PT023127 PA) Physical Therapist (225100000X, primary, license 25024 MD) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | $4K | 56% | $301 | $124 (top 5% from $387) | too few months to rank | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $3K | 44% | $237 | $76 (top 5% from $314) | too few months to rank |
In this area
2 providers in Cecil County, MD carry an indicator in the public record, with $2.8M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | MUHAMMED NIAZ Elkton, MD, ranked 7997 | $294K |
|
| 4 | CORAZON SANCHEZ Port Deposit, MD, ranked 8620 | $2.6M |
|
Recent enforcement in MD
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.