Physician

Joseph Martin Thomas, MD

According to 2025 Medicare claims, Joseph Thomas, MD (NPI: 1245271568) practices interventional pain management (ipm) 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 TRI-STATE PAIN INSTITUTE LLC (NPI: 1215106323; TIN: 261827801) and primary practice location at 16509-2602.

Thomas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 339 traditional Medicare patients, billed 25,539 HCPCS/CPT codes, and received $149,578 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 12,951 prescription claims across 1,080 beneficiaries totaling $525,009 in drug costs, led by Belbuca (Buprenorphine Hcl). 2023 DME data shows 11 claims. Open Payments data shows 29 records totaling $526. 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 $288,560 to $149,578. In contrast, Part D prescription costs have risen steadily, from $352,388 to $525,009. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $996 to $818.

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$146K$293K2015 Medicare payment: $288,560 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $292,812 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $282,991 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $258,766 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $241,654 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $191,046 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $233,424 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $225,782 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $185,113 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $149,578 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158425,918$288,560
20169436,526$292,812
20179256,557$282,991
20189234,639$258,766
20198974,872$241,654
20207685,929$191,046
202175935,788$233,424
202255730,075$225,782
202344622,062$185,113
202433925,539$149,578

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$437K$874K2015 Drug cost: $352,388 (USD; Tot_Drug_Cst)2016 Drug cost: $390,680 (USD; Tot_Drug_Cst)2017 Drug cost: $450,364 (USD; Tot_Drug_Cst)2018 Drug cost: $478,657 (USD; Tot_Drug_Cst)2019 Drug cost: $430,247 (USD; Tot_Drug_Cst)2020 Drug cost: $648,890 (USD; Tot_Drug_Cst)2021 Drug cost: $873,526 (USD; Tot_Drug_Cst)2022 Drug cost: $794,681 (USD; Tot_Drug_Cst)2023 Drug cost: $656,400 (USD; Tot_Drug_Cst)2024 Drug cost: $525,009 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,0958,907$352,388
20161,28011,166$390,680
20171,41112,151$450,364
20181,2909,728$478,657
20191,2738,010$430,247
20201,38713,724$648,890
20211,62118,939$873,526
20221,40416,533$794,681
20231,18114,007$656,400
20241,08012,951$525,009

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$1.6K$3.3K2016 Medicare payment: $3,297 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $349 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $308 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $818 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R52$3,297
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R11$349
2020N/R12$308
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$818
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more131179$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more151233$55
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2392,179$1
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml21020,095$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2281,854$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BelbucaBuprenorphine Hcl2477,365$148,849
BuprenorphineBuprenorphine45612,774$94,101
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen4,508129,436$71,699
MovantikNaloxegol Oxalate551,650$22,409
Nucynta ErTapentadol Hcl29870$20,914

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.29$526Salix Pharmaceuticals, a division of Bausch Health US, LLC
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 Joseph Martin Thomas, MD?

Tedicare shows public-source Medicare data for Joseph Martin Thomas, MD (NPI 1245271568), 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 Joseph Martin Thomas, 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 Joseph Martin Thomas, MD?

Joseph Martin Thomas, MD is linked to TRI-STATE PAIN INSTITUTE LLC (billing NPI 1215106323) in the available physician profile data.

Does Joseph Martin Thomas, MD have Open Payments data?

Joseph Martin Thomas, MD has 29 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.