Physician

Thomas Alan Parfenchuck, MD

According to 2025 Medicare claims, Thomas Parfenchuck, MD (NPI: 1053346973) practices orthopedic surgery in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Aiken, SC. This provider's primary affiliated billing organization is AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC (NPI: 1457389504; TIN: 581327528) and primary practice location at 30901-2612. Parfenchuck is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Parfenchuck's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 460 traditional Medicare patients, billed 2,205 HCPCS/CPT codes, and received $272,651 in Medicare payments. The top billing code was 22853 (Insertion of cage or mesh device to spine bone and disc space during spine fusion). Part D data shows 2,845 prescription claims across 663 beneficiaries totaling $29,971 in drug costs, led by Celecoxib (Celecoxib). DME data shows 26 claims. Open Payments data shows 3 records totaling $133. 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 declined steadily, from $447,443 to $272,651. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments rose steadily, from $1,885 to $108,581.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$224K$447K2015 Medicare payment: $447,443 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $420,439 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $432,499 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $368,754 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $411,193 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $338,492 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $327,093 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $351,672 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $277,007 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $272,651 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156753,637$447,443
20166863,543$420,439
20176343,643$432,499
20186493,375$368,754
20196993,557$411,193
20206062,964$338,492
20216012,705$327,093
20225512,754$351,672
20234581,882$277,007
20244602,205$272,651

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$20K$41K2015 Drug cost: $35,448 (USD; Tot_Drug_Cst)2016 Drug cost: $36,154 (USD; Tot_Drug_Cst)2017 Drug cost: $36,799 (USD; Tot_Drug_Cst)2018 Drug cost: $30,946 (USD; Tot_Drug_Cst)2019 Drug cost: $32,842 (USD; Tot_Drug_Cst)2020 Drug cost: $35,511 (USD; Tot_Drug_Cst)2021 Drug cost: $40,746 (USD; Tot_Drug_Cst)2022 Drug cost: $37,680 (USD; Tot_Drug_Cst)2023 Drug cost: $32,738 (USD; Tot_Drug_Cst)2024 Drug cost: $29,971 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153761,385$35,448
20163831,378$36,154
20173791,280$36,799
20183631,092$30,946
20194381,722$32,842
20204521,901$35,511
20215021,841$40,746
20224651,833$37,680
20235212,257$32,738
20246632,845$29,971

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$68K$135K2019 Medicare payment: $135,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $135,397 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $58,437 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $102,002 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $85,187 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $108,212 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20195656$135,005
20205353$135,397
20211717$58,437
20223838$102,002
20232121$85,187
20242626$108,212

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion64134$183
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more267372$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6869$64
72100X-ray of lower and sacral spine, 2-3 views170231$27
72040X-ray of upper spine, 2-3 views6680$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib35414,035$4,442
GabapentinGabapentin29813,046$4,183
PregabalinPregabalin2448,580$4,001
Diclofenac SodiumDiclofenac Sodium2347,915$2,787
MethocarbamolMethocarbamol2156,726$2,472

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0748Osteogenesis stimulator, electrical, non-invasive, spinal applicationsN2626$108,212

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$133Providence Medical Technology, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Thomas Alan Parfenchuck, MD?

Tedicare shows public-source Medicare data for Thomas Alan Parfenchuck, MD (NPI 1053346973), 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 Alan Parfenchuck, MD have ACO affiliation data?

Thomas Alan Parfenchuck, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Thomas Alan Parfenchuck, MD?

Thomas Alan Parfenchuck, MD is linked to AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC (billing NPI 1457389504) in the available physician profile data.

Does Thomas Alan Parfenchuck, MD have Open Payments data?

Thomas Alan Parfenchuck, MD has 3 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.