Physician

Theresa Katherine Mattingly, M.D.

According to 2025 Medicare claims, Theresa Mattingly, M.D. (NPI: 1265849053) practices dermatology in the Cape Girardeau, MO-IL market, with the plurality of this provider's patient population coming from Cape Girardeau, MO. This provider's primary affiliated billing organization is ADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC (NPI: 1770713950; TIN: 270409685) and primary practice location at 63701-1727. Mattingly is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Mattingly's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,059 traditional Medicare patients, billed 6,988 HCPCS/CPT codes, and received $265,929 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 1,395 prescription claims across 507 beneficiaries totaling $1,054,807 in drug costs, led by Skyrizi Pen (Risankizumab-Rzaa). Open Payments data shows 54 records totaling $891. 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 $20,051 to $265,929. Similarly, Part D prescription costs have risen steadily, from $20,811 to $1,054,807. 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$133K$266K2018 Medicare payment: $20,051 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $100,518 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $95,828 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $88,480 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $147,216 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $229,673 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $265,929 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018149513$20,051
20196232,592$100,518
20205902,848$95,828
20216072,120$88,480
20226683,490$147,216
20239385,961$229,673
20241,0596,988$265,929

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$527K$1.1M2015 Drug cost: $20,811 (USD; Tot_Drug_Cst)2016 Drug cost: $250,440 (USD; Tot_Drug_Cst)2017 Drug cost: $263,678 (USD; Tot_Drug_Cst)2018 Drug cost: $397,584 (USD; Tot_Drug_Cst)2019 Drug cost: $89,297 (USD; Tot_Drug_Cst)2020 Drug cost: $49,148 (USD; Tot_Drug_Cst)2021 Drug cost: $140,587 (USD; Tot_Drug_Cst)2022 Drug cost: $276,268 (USD; Tot_Drug_Cst)2023 Drug cost: $751,882 (USD; Tot_Drug_Cst)2024 Drug cost: $1,054,807 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201585165$20,811
2016168534$250,440
2017114307$263,678
2018142328$397,584
2019261576$89,297
2020286634$49,148
2021281558$140,587
2022250541$276,268
20234001,024$751,882
20245071,395$1,054,807

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more289452$85
17110Destruction of skin growth, 1-14 growths303343$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more579781$59
17000Destruction of precancer skin growth, 1 growth461584$34
17003Destruction of precancer skin growth, 2-14 growths3922,437$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Skyrizi PenRisankizumab-Rzaa151,204$302,455
Dupixent PenDupilumab511,414$194,009
Enbrel SureclickEtanercept13364$189,086
Cosentyx Sensoready (2 Pens)Secukinumab13364$93,308
XolairOmalizumab24672$66,611

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.54$891ABBVIE 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 Theresa Katherine Mattingly, M.D.?

Tedicare shows public-source Medicare data for Theresa Katherine Mattingly, M.D. (NPI 1265849053), 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 Theresa Katherine Mattingly, M.D. have ACO affiliation data?

Theresa Katherine Mattingly, M.D. is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Theresa Katherine Mattingly, M.D.?

Theresa Katherine Mattingly, M.D. is linked to ADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC (billing NPI 1770713950) in the available physician profile data.

Does Theresa Katherine Mattingly, M.D. have Open Payments data?

Theresa Katherine Mattingly, M.D. has 54 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.