We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Thomas S Vital’s office at (925) 973-0605 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$67,506
Medicare paid this office $67,506 for 597 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Anesthesia for other procedure on large bowel using an endoscope
302
$32,029
$106
Anesthesia for procedure on small and large bowel using an endoscope
120
$16,051
$133
Anesthesia for exam of colon using an endoscope
95
$10,215
$108
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
82
$9,211
$111
Who their Medicare patients are
597 Original Medicare patients in 2024. Average age 72 · Women 57% · Also on Medicaid 11% · Health risk score 0.76. At or below the middle of the specialty; the typical certified registered nurse anesthetist (crna) clinician is at 1.45.
The office billed $458,920, Medicare allowed $82,251 and paid $67,506; for 602 services of 4 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
597
602
72
0.76
$458,920
$67,506
2023
667
677
72
0.82
$529,540
$82,342
2022
773
786
72
0.79
$563,720
$98,330
2021
808
827
72
0.85
$459,280
$101,400
2020
772
794
71
0.91
$445,440
$97,445
2019
674
710
70
1.05
$407,520
$89,207
2018
633
653
70
1.03
$375,823
$81,070
2017
484
504
69
1.07
$335,855
$67,156
2016
140
142
69
1.14
$122,318
$21,801
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 4 services
Original Medicare services billed in 2023
Anesthesia for other procedure on large bowel using an endoscope
213
$24,169
$112
Anesthesia for procedure on small and large bowel using an endoscope
167
$23,410
$140
Anesthesia for exam of colon using an endoscope
178
$20,898
$117
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
114
$13,865
$119
2022: 4 services
Original Medicare services billed in 2022
Anesthesia for procedure on small and large bowel using an endoscope
200
$29,022
$145
Anesthesia for exam of colon using an endoscope
225
$27,834
$123
Anesthesia for other procedure on large bowel using an endoscope
228
$25,994
$113
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
127
$15,480
$120
2021: 4 services
Original Medicare services billed in 2021
Anesthesia for other procedure on large bowel using an endoscope
315
$35,836
$112
Anesthesia for procedure on small and large bowel using an endoscope
203
$28,980
$143
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
180
$22,465
$121
Anesthesia for exam of colon using an endoscope
119
$14,119
$119
2020: 4 services
Original Medicare services billed in 2020
Anesthesia for other procedure on large bowel using an endoscope
369
$42,816
$115
Anesthesia for procedure on small and large bowel using an endoscope
172
$24,219
$141
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
146
$19,139
$123
Anesthesia for exam of colon using an endoscope
95
$11,271
$119
2019: 4 services
Original Medicare services billed in 2019
Anesthesia for other procedure on large bowel using an endoscope
289
$34,430
$117
Anesthesia for procedure on small and large bowel using an endoscope
180
$26,397
$147
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
149
$19,334
$126
Anesthesia for exam of colon using an endoscope
80
$9,046
$112
2018: 4 services
Original Medicare services billed in 2018
Anesthesia for other procedure on large bowel using an endoscope
269
$31,685
$116
Anesthesia for procedure on small and large bowel using an endoscope
182
$25,822
$142
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
118
$14,291
$119
Anesthesia for exam of colon using an endoscope
75
$8,804
$116
2017: 2 services
Original Medicare services billed in 2017
Anesthesia for procedure on lower intestine using an endoscope
372
$50,266
$132
Anesthesia for procedure on gastrointestinal tract using an endoscope
101
$13,094
$124
2016: 3 services
Original Medicare services billed in 2016
Anesthesia for procedure on lower intestine using an endoscope
85
$11,814
$139
Anesthesia for procedure on gastrointestinal tract using an endoscope
25
$2,970
$119
Anesthesia for other procedure on upper abdomen
11
$2,869
$261
Medicaid work
$5,106 in 2024
Medicaid paid $5,106 for 41 billed services this clinician did in 2024, up to 15 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
Largest Medicaid services in 2024
Anesthesia for lower gastrointestinal endoscopic procedure, distal to duodenum
27
$2,996
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
14
$2,110
Medicaid work by year
2024
41
2
15
$5,106
2023
58
2
18
$6,696
2022
48
2
17
$5,537
2021
55
2
16
$7,621
2020
80
2
17
$7,768
2019
98
2
17
$11,512
2018
60
3
20
$7,139
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
46
$5,745
Anesthesia for lower gastrointestinal endoscopic procedure, distal to duodenum
12
$951
2022
Largest Medicaid services in 2022
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
31
$3,689
Anesthesia for upper gastrointestinal endoscopic procedure proximal to duodenum
17
$1,848
2021
Largest Medicaid services in 2021
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
27
$4,251
Anesthesia for upper gastrointestinal endoscopic procedure proximal to duodenum
28
$3,370
2020
Largest Medicaid services in 2020
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
43
$5,488
Anesthesia for lower gastrointestinal endoscopic procedure, distal to duodenum
37
$2,280
2019
Largest Medicaid services in 2019
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
54
$7,013
Anesthesia for upper gastrointestinal endoscopic procedure proximal to duodenum
44
$4,499
2018
Largest Medicaid services in 2018
Anesthesia for lower gastrointestinal endoscopic procedure, distal to duodenum
34
$3,596
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
14
$2,067
Anesthesia for upper gastrointestinal endoscopic procedure proximal to duodenum
12
$1,475
Money from drug and device companies
$21 in 2024
Industry payments by year
2024
1
1
—None
$21
2022
1
1
—None
$16
2021
1
1
—None
$20
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.