Physician

Thomas Allen Simpson, M.D.

According to 2025 Medicare claims, Thomas Simpson, M.D. (NPI: 1285672428) practices otolaryngology in the Iowa City, IA market, with the plurality of this provider's patient population coming from Johnson, IA. This provider's primary affiliated billing organization is ENT MEDICAL SERVICES PC (NPI: 1861448342; TIN: 42-0958173) and primary practice location at 52245-9565. Simpson is affiliated with the Genesis Accountable Care Organization, LLC. (ACO ID: A4799), participating under the MSSP model.

Simpson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 935 traditional Medicare patients, billed 4,875 HCPCS/CPT codes, and received $211,121 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 2,101 prescription claims across 444 beneficiaries totaling $60,098 in drug costs, led by Famotidine (Famotidine). DME data shows 3,612 claims. Open Payments data shows 23 records totaling $434. 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 did not follow a clear longitudinal pattern. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $89,253 to $152,577.

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$123K$247K2015 Medicare payment: $172,705 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $190,489 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $206,840 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $200,416 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $233,701 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $186,939 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $246,723 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $227,195 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $225,842 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $211,121 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157143,280$172,705
20167683,719$190,489
20177613,877$206,840
20187664,284$200,416
20198014,409$233,701
20207273,569$186,939
20218424,379$246,723
20228694,726$227,195
20238954,696$225,842
20249354,875$211,121

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$30K$60K2015 Drug cost: $36,843 (USD; Tot_Drug_Cst)2016 Drug cost: $28,818 (USD; Tot_Drug_Cst)2017 Drug cost: $26,612 (USD; Tot_Drug_Cst)2018 Drug cost: $23,557 (USD; Tot_Drug_Cst)2019 Drug cost: $23,453 (USD; Tot_Drug_Cst)2020 Drug cost: $24,736 (USD; Tot_Drug_Cst)2021 Drug cost: $30,752 (USD; Tot_Drug_Cst)2022 Drug cost: $31,131 (USD; Tot_Drug_Cst)2023 Drug cost: $33,998 (USD; Tot_Drug_Cst)2024 Drug cost: $60,098 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152961,457$36,843
20163071,408$28,818
20173011,323$26,612
20183251,371$23,557
20193281,394$23,453
20203171,352$24,736
20213651,528$30,752
20223881,741$31,131
20234281,819$33,998
20244442,101$60,098

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$84K$168K2015 Medicare payment: $85,302 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $65,973 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $55,531 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $71,364 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $89,271 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $109,134 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $108,694 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $144,675 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $167,920 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $151,576 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20159671,759$85,302
20161,0472,100$65,973
20171,1902,384$55,531
20181,2372,491$71,364
20191,3562,756$89,271
20201,3722,959$109,134
20211,2842,705$108,694
20221,5383,243$144,675
20231,5703,640$167,920
20241,6723,612$151,576

* / # = 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 more604852$76
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more394478$56
69210Removal of impacted ear wax395571$27
92557Comprehensive hearing and speech recognition test254282$22
92567Test to assess middle ear function257285$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FamotidineFamotidine77233,648$5,280
Ipratropium BromideIpratropium Bromide1904,955$5,142
Fluticasone PropionateFluticasone Propionate1687,170$2,027
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth12133$1,485
Pantoprazole SodiumPantoprazole Sodium20511,120$1,465

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7032Cushion for use on nasal mask interface, replacement only, eachN89230$19,384
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN172304$19,149
E0601Continuous positive airway pressure (cpap) deviceY89514$18,484
A7031Face mask interface, replacement for full face mask, eachN89251$17,848
A7030Full face mask used with positive airway pressure device, eachN94168$17,185

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.23$434GENZYME CORPORATION
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 Allen Simpson, M.D.?

Tedicare shows public-source Medicare data for Thomas Allen Simpson, M.D. (NPI 1285672428), 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 Allen Simpson, M.D. have ACO affiliation data?

Thomas Allen Simpson, M.D. is shown with ACO affiliation data for Genesis Accountable Care Organization, LLC. (MSSP, ACO ID A4799).

What billing organization is linked to Thomas Allen Simpson, M.D.?

Thomas Allen Simpson, M.D. is linked to ENT MEDICAL SERVICES PC (billing NPI 1861448342) in the available physician profile data.

Does Thomas Allen Simpson, M.D. have Open Payments data?

Thomas Allen Simpson, M.D. has 23 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.