Physician

Thomas J Wilkins, MD

According to 2025 Medicare claims, Thomas Wilkins, MD (NPI: 1043231756) practices physical medicine and rehabilitation in the Erie, PA market, with the plurality of this provider's patient population coming from Erie, PA. This provider's primary affiliated billing organization is ERIE SPINE & PAIN CENTER PC (NPI: 1528732260; TIN: 871736903) and primary practice location at 16508-1721.

Wilkins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 272 traditional Medicare patients, billed 17,660 HCPCS/CPT codes, and received $211,123 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 452 prescription claims across 194 beneficiaries totaling $29,266 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). Open Payments data shows 18 records totaling $588. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $162,992 and ending at $211,123. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $11,726 and ending at $29,266. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	286	18,692	$162,992
2016	313	18,018	$170,795
2017	319	20,487	$198,128
2018	376	22,462	$220,986
2019	367	17,774	$220,811
2020	354	18,875	$221,550
2021	278	12,197	$157,884
2022	345	7,055	$322,581
2023	300	6,775	$262,999
2024	272	17,660	$211,123

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	45	101	$11,726
2016	84	459	$33,911
2017	63	139	$18,214
2018	51	104	$32,984
2019	51	102	$40,035
2020	70	149	$52,702
2021	57	120	$45,805
2022	246	553	$48,715
2023	211	559	$35,591
2024	194	452	$29,266

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	222	748	$58
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	149	$38
96160	Administration and interpretation of patient-focused health risk assessment	121	124	$2
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	1,610	$1
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	136	393	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	155	4,613	$3,367
Morphine Sulfate Er	Morphine Sulfate	39	1,170	$836
Gabapentin	Gabapentin	29	1,105	$545
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	17	510	$456
Tizanidine Hcl	Tizanidine Hcl	28	1,320	$260

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$588	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Thomas J. Wilkins, MD?

Tedicare shows public-source Medicare data for Thomas J. Wilkins, MD (NPI 1043231756), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Thomas J. Wilkins, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Thomas J. Wilkins, MD?

Thomas J. Wilkins, MD is linked to ERIE SPINE & PAIN CENTER PC (billing NPI 1528732260) in the available physician profile data.

Does Thomas J. Wilkins, MD have Open Payments data?

Thomas J. Wilkins, MD has 18 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.