Active NPI 1033184668 Individual Practitioner Male Practitioner

Thomas Painter

Specialist • Pittsburgh, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Painter is a certified Specialist practicing in Pittsburgh, PA. With approximately 52 years of clinical experience since completing medical education in 1974, Thomas Painter delivers high-quality medical care to the local community at 3459 5TH AVE.

Thomas Painter is affiliated with University Of Pittsburgh Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3459 5th Ave
Muh 9 South

Pittsburgh, PA 152133236

Telephone 4126924888

Associated Practice Facility / Clinic

🏢 Upmc Presbyterian Shadyside Facility NPI 1043392855

Medicare Profile & Education

Medical School

Other

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pittsburgh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +15.4 yrs vs City Avg

City Avg: 36.6 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

851 Specialists

Practicing in Pittsburgh, PA (2255 Statewide)

Telehealth Adoption Rate

13.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Painter (52 Years) 52 Yrs

Pittsburgh Specialty Average (36.6 Years) 36.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$129.12	$60.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$188.00	$92.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$252.00	$122.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$129.34	$62.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	32	$188.74	$94.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$252.00	$124.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	14	$180.00	$70.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	35	$194.24	$97.02
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$131.82	$65.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$252.00	$128.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	35	$180.00	$69.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	42	$196.36	$98.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$252.00	$129.03
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$130.10	$65.80
99238 Hospital discharge day management, 30 minutes or less	18	18	$177.00	$67.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	59	$180.00	$72.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	37	$195.73	$78.63
99238 Hospital discharge day management, 30 minutes or less	34	34	$177.00	$71.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$500.00	$203.28
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$125.33	$51.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$252.00	$114.83
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$70.38	$51.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	64	$180.00	$72.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	54	$186.00	$78.57
99238 Hospital discharge day management, 30 minutes or less	46	46	$177.00	$72.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$252.00	$114.19
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$124.00	$50.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$500.00	$201.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	216	77	$180.00	$71.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	47	$186.00	$77.54
99238 Hospital discharge day management, 30 minutes or less	42	42	$177.00	$71.84
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$124.00	$50.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$252.00	$113.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$500.00	$200.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	76	$180.00	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	46	$186.00	$77.10
99238 Hospital discharge day management, 30 minutes or less	49	48	$177.00	$70.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$252.00	$111.44
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$124.00	$50.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$500.00	$198.72

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD016617E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

University Of Pittsburgh Physicians

200 Lothrop St, Pittsburgh, PA 152132536