Physician

Thomas Mccullough

According to 2025 Medicare claims, Thomas Mccullough (NPI: 1093980757) practices internal medicine 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 AIKEN INTERNAL MED PA (NPI: 1952488900; TIN: 620964806) and primary practice location at 29801-6830. Mccullough is affiliated with the PBACO Holding, LLC (ACO ID: A1001), Mission Health Partners, LLC (ACO ID: A2591), and Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Mccullough's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,410 traditional Medicare patients, billed 6,135 HCPCS/CPT codes, and received $283,190 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 29,871 prescription claims across 1,110 beneficiaries totaling $1,531,889 in drug costs, led by Eliquis (Apixaban). DME data shows 783 claims. Open Payments data shows 45 records totaling $809. 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 risen steadily, from $157,271 to $283,190. Similarly, Part D prescription costs have risen steadily, from $712,201 to $1,531,889. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $29,219 to $56,298.

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$142K$283K2015 Medicare payment: $157,271 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $152,465 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $153,727 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $218,486 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $251,390 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $230,650 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $256,859 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $252,838 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $255,520 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $283,190 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1353,544$157,271
20161,3413,890$152,465
20171,4064,011$153,727
20181,2144,654$218,486
20191,4845,510$251,390
20201,2124,893$230,650
20211,1125,118$256,859
20229765,253$252,838
20231,1995,206$255,520
20241,4106,135$283,190

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$824K$1.6M2015 Drug cost: $712,201 (USD; Tot_Drug_Cst)2016 Drug cost: $886,674 (USD; Tot_Drug_Cst)2017 Drug cost: $944,649 (USD; Tot_Drug_Cst)2018 Drug cost: $862,958 (USD; Tot_Drug_Cst)2019 Drug cost: $1,120,945 (USD; Tot_Drug_Cst)2020 Drug cost: $1,278,786 (USD; Tot_Drug_Cst)2021 Drug cost: $1,434,348 (USD; Tot_Drug_Cst)2022 Drug cost: $1,451,141 (USD; Tot_Drug_Cst)2023 Drug cost: $1,648,397 (USD; Tot_Drug_Cst)2024 Drug cost: $1,531,889 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201577414,724$712,201
201679718,619$886,674
201783420,053$944,649
201885019,374$862,958
201997422,683$1,120,945
20201,04524,711$1,278,786
20211,07525,985$1,434,348
20221,15028,588$1,451,141
20231,15828,405$1,648,397
20241,11029,871$1,531,889

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$26K$51K2015 Medicare payment: $33,221 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $18,791 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $22,317 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $15,473 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $13,046 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $13,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $13,868 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $19,456 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $31,186 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $51,162 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015260671$33,221
2016225755$18,791
20172861,061$22,317
2018178753$15,473
2019136643$13,046
2020110559$13,286
202177479$13,868
2022135533$19,456
2023189616$31,186
2024255783$51,162

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit622622$121
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more7761,593$56
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes730730$24
G0442Annual alcohol misuse screening, 5 to 15 minutes730730$17
G0444Annual depression screening, 5 to 15 minutes621621$17

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban54010,977$216,515
JanuviaSitagliptin Phosphate1818,165$148,465
OzempicSemaglutide1213,948$125,386
JardianceEmpagliflozin773,586$69,358
Trelegy ElliptaFluticasone/Umeclidin/Vilanter983,180$67,845

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN1245$21,491
E0601Continuous positive airway pressure (cpap) deviceY22130$4,096
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN2768$3,314
A7033Pillow for use on nasal cannula type interface, replacement only, pairN1437$3,143
A7031Face mask interface, replacement for full face mask, eachN1330$2,527

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.45$809ABBVIE 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 Mccullough?

Tedicare shows public-source Medicare data for Thomas Mccullough (NPI 1093980757), 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 Mccullough have ACO affiliation data?

Thomas Mccullough is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001), Mission Health Partners, LLC (MSSP, ACO ID A2591), and Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Thomas Mccullough?

Thomas Mccullough is linked to AIKEN INTERNAL MED PA (billing NPI 1952488900) in the available physician profile data.

Does Thomas Mccullough have Open Payments data?

Thomas Mccullough has 45 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.