Physician

Timothy Joe Kane, M.D.

According to 2025 Medicare claims, Timothy Kane, M.D. (NPI: 1205805355) practices psychiatry in the Staunton-Stuarts Draft, VA market, with the plurality of this provider's patient population coming from Staunton City, VA. This provider's primary affiliated billing organization is COMPREHENSIVE HEALTH SYSTEMS,PLC (NPI: 1649376450; TIN: 311702226) and primary practice location at 24401-6342. Kane is affiliated with the Augusta Care Partners, LLC (ACO ID: A2266), participating under the MSSP model.

Kane's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 914 traditional Medicare patients, billed 4,561 HCPCS/CPT codes, and received $394,458 in Medicare payments. The top billing code was 90792 (Psychiatric diagnostic evaluation with medical services). Part D data shows 9,052 prescription claims across 446 beneficiaries totaling $1,514,360 in drug costs, led by Ingrezza (Valbenazine Tosylate). Open Payments data shows 198 records totaling $25,853. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $421,576 to $1,514,360. 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.

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$238K$477K2015 Medicare payment: $290,616 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $345,843 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $364,702 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $339,924 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $392,561 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $320,960 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $447,382 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $476,709 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $431,940 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $394,458 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157574,613$290,616
20167944,917$345,843
20178935,485$364,702
20189565,299$339,924
20199715,611$392,561
20209294,955$320,960
20218915,052$447,382
20229155,371$476,709
20239304,924$431,940
20249144,561$394,458

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$757K$1.5M2015 Drug cost: $421,576 (USD; Tot_Drug_Cst)2016 Drug cost: $348,216 (USD; Tot_Drug_Cst)2017 Drug cost: $452,565 (USD; Tot_Drug_Cst)2018 Drug cost: $475,193 (USD; Tot_Drug_Cst)2019 Drug cost: $549,472 (USD; Tot_Drug_Cst)2020 Drug cost: $859,967 (USD; Tot_Drug_Cst)2021 Drug cost: $1,046,637 (USD; Tot_Drug_Cst)2022 Drug cost: $1,357,336 (USD; Tot_Drug_Cst)2023 Drug cost: $1,396,602 (USD; Tot_Drug_Cst)2024 Drug cost: $1,514,360 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153606,892$421,576
20163847,233$348,216
20173917,244$452,565
20184328,089$475,193
20194389,044$549,472
20204188,670$859,967
20214327,908$1,046,637
20224829,352$1,357,336
20234739,371$1,396,602
20244469,052$1,514,360

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
90792Psychiatric diagnostic evaluation with medical services165166$142
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4569$135
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6472,363$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5131,425$62
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more3552$42

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
IngrezzaValbenazine Tosylate551,650$484,466
Invega SustennaPaliperidone Palmitate531,421$155,597
RexultiBrexpiprazole882,640$131,779
SpravatoEsketamine Hcl54381$126,360
VraylarCariprazine Hcl702,084$96,691

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.198$25,853ABBVIE 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 Timothy Joe Kane, M.D.?

Tedicare shows public-source Medicare data for Timothy Joe Kane, M.D. (NPI 1205805355), 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 Timothy Joe Kane, M.D. have ACO affiliation data?

Timothy Joe Kane, M.D. is shown with ACO affiliation data for Augusta Care Partners, LLC (MSSP, ACO ID A2266).

What billing organization is linked to Timothy Joe Kane, M.D.?

Timothy Joe Kane, M.D. is linked to COMPREHENSIVE HEALTH SYSTEMS,PLC (billing NPI 1649376450) in the available physician profile data.

Does Timothy Joe Kane, M.D. have Open Payments data?

Timothy Joe Kane, M.D. has 198 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.