Physician

Thomas William Schmidt, MD

According to 2025 Medicare claims, Thomas Schmidt, MD (NPI: 1245468768) practices rheumatology in the Des Moines-West Des Moines, IA market, with the plurality of this provider's patient population coming from Polk, IA. This provider's primary affiliated billing organization is IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC (NPI: 1720462914; TIN: 473818676) and primary practice location at 50322-7356. Schmidt is affiliated with the NPG Health Collaborative LLC (ACO ID: A3287), Caravan Health ACO 50 LLC (ACO ID: A5160), Aledade 155 National MSSP (ACO ID: A5358), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Schmidt's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 673 traditional Medicare patients, billed 108,885 HCPCS/CPT codes, and received $1,197,718 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 2,940 prescription claims across 464 beneficiaries totaling $1,942,082 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2016 DME data shows 11 claims. No Open Payments records. 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 sharply higher in recent years, from $73,606 to $1,197,718. Similarly, Part D prescription costs have moved sharply higher in recent years, from $5,524 to $1,942,082. 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$599K$1.2M2018 Medicare payment: $73,606 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $411,421 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $572,738 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $781,297 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $980,245 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,134,543 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,197,718 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181783,484$73,606
201959727,566$411,421
202061833,465$572,738
202160658,523$781,297
202276777,048$980,245
202372884,429$1,134,543
2024673108,885$1,197,718

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$971K$1.9M2018 Drug cost: $5,524 (USD; Tot_Drug_Cst)2019 Drug cost: $416,577 (USD; Tot_Drug_Cst)2020 Drug cost: $768,802 (USD; Tot_Drug_Cst)2021 Drug cost: $1,214,201 (USD; Tot_Drug_Cst)2022 Drug cost: $1,359,719 (USD; Tot_Drug_Cst)2023 Drug cost: $1,489,623 (USD; Tot_Drug_Cst)2024 Drug cost: $1,942,082 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201841106$5,524
2019207992$416,577
20202991,721$768,802
20213151,990$1,214,201
20223942,471$1,359,719
20234192,781$1,489,623
20244642,940$1,942,082

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$29$582016 Medicare payment: $58 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R11$58
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
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 more317541$81
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's294441$11
36415Insertion of needle into vein for collection of blood sample429776$9
82565Blood creatinine level407689$5
82040Albumin (protein) level251438$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab1042,912$791,280
Enbrel SureclickEtanercept25700$198,880
Humira(Cf)Adalimumab27756$188,088
EnbrelEtanercept23644$183,441
RinvoqUpadacitinib26780$166,605

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Thomas William Schmidt, MD?

Tedicare shows public-source Medicare data for Thomas William Schmidt, MD (NPI 1245468768), 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 William Schmidt, MD have ACO affiliation data?

Thomas William Schmidt, MD is shown with ACO affiliation data for NPG Health Collaborative LLC (MSSP, ACO ID A3287), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Aledade 155 National MSSP (MSSP, ACO ID A5358), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Thomas William Schmidt, MD?

Thomas William Schmidt, MD is linked to IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC (billing NPI 1720462914) in the available physician profile data.

Does Thomas William Schmidt, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.