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Thomas William Howard, Iii

Internal Medicine, Rheumatology·Lexington, KY·NPI: 1457580003SharePrint ReportML Risk: 83%

Total Paid

$282K

$281,745

Total Claims

6,883

Beneficiaries

4,307

1.6 claims/patient

Avg Cost/Claim

$41

🔍 Analysis

Provider Overview

Thomas William Howard, Iii is a Internal Medicine, Rheumatology provider based in Lexington, KY. From the 2018–2024 period, this provider received $282K in Medicaid payments across 7K claims serving 4K beneficiaries.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 34% of total spending.

80307Top 25%

Drug test, presumptive, by chemistry analyzers

$95K

1,612 claims · 33.8%

Your Cost: $59.03/claim|Median: $35.43
1.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$73K

1,535 claims · 26.1%

Your Cost: $47.83/claim|Median: $37.81
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$41K

539 claims · 14.5%

Your Cost: $75.93/claim|Median: $85.66
0.9× median
90853Normal range

Group psychotherapy

$28K

1,866 claims · 10.1%

Your Cost: $15.23/claim|Median: $25.02
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$19K

705 claims · 6.6%

Your Cost: $26.40/claim|Median: $55.04
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$13K

353 claims · 4.6%

Your Cost: $36.75/claim|Median: $41.28
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$7K

140 claims · 2.6%

Your Cost: $51.54/claim|Median: $63.65
0.8× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$4K

37 claims · 1.5%

Your Cost: $114.43/claim|Median: $37.56
3.0× median
81025Top 10%

Urine pregnancy test

$792

96 claims · 0.3%

Your Cost: $8.25/claim|Median: $4.81
1.7× median