Physician

Joseph L Tuma, MD

According to 2025 Medicare claims, Joseph Tuma, MD (NPI: 1326081225) practices interventional cardiology in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is MONUMENT HEALTH RAPID CITY HOSPITAL, INC (NPI: 1275553463; TIN: 460319070) and primary practice location at 57701-7375. Tuma is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Tuma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 834 traditional Medicare patients, billed 2,111 HCPCS/CPT codes, and received $262,032 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 667 prescription claims across 176 beneficiaries totaling $67,410 in drug costs, led by Xarelto (Rivaroxaban). 2021 DME data shows 11 claims. Open Payments data shows 63 records totaling $26,858. 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 from a higher plateau to a lower plateau, from $98,113 to $67,410. 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$146K$291K2015 Medicare payment: $218,174 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $229,077 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $222,559 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $263,411 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $246,593 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $241,534 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $262,896 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $291,309 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $281,326 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $262,032 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157641,997$218,174
20168732,100$229,077
20178292,145$222,559
20189982,805$263,411
20198342,299$246,593
20206902,078$241,534
20217622,256$262,896
20229162,523$291,309
20237982,223$281,326
20248342,111$262,032

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$84K$169K2015 Drug cost: $98,113 (USD; Tot_Drug_Cst)2016 Drug cost: $160,721 (USD; Tot_Drug_Cst)2017 Drug cost: $168,610 (USD; Tot_Drug_Cst)2018 Drug cost: $118,801 (USD; Tot_Drug_Cst)2019 Drug cost: $67,065 (USD; Tot_Drug_Cst)2020 Drug cost: $67,105 (USD; Tot_Drug_Cst)2021 Drug cost: $91,859 (USD; Tot_Drug_Cst)2022 Drug cost: $121,889 (USD; Tot_Drug_Cst)2023 Drug cost: $86,469 (USD; Tot_Drug_Cst)2024 Drug cost: $67,410 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152901,823$98,113
20163502,637$160,721
20173282,519$168,610
20182981,995$118,801
20192471,336$67,065
20202121,010$67,105
2021204998$91,859
20222111,112$121,889
2023188839$86,469
2024176667$67,410

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$214$4292019 Medicare payment: $417 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $429 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $374 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R12$417
2020N/R12$429
2021N/R11$374
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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more103103$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more103104$65
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function228228$47
93880Ultrasound of both sides of head and neck blood flow8282$25
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes254282$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XareltoRivaroxaban131,089$21,761
EliquisApixaban29875$16,658
Praluent PenAlirocumab11616$10,116
ClopidogrelClopidogrel Bisulfate1457,163$1,564
CarvedilolCarvedilol653,940$471

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.59$10,830Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.4$16,028Medtronic, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Joseph L. Tuma, MD?

Tedicare shows public-source Medicare data for Joseph L. Tuma, MD (NPI 1326081225), 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 L. Tuma, MD have ACO affiliation data?

Joseph L. Tuma, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Joseph L. Tuma, MD?

Joseph L. Tuma, MD is linked to MONUMENT HEALTH RAPID CITY HOSPITAL, INC (billing NPI 1275553463) in the available physician profile data.

Does Joseph L. Tuma, MD have Open Payments data?

Joseph L. Tuma, MD has 63 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.