Physician

Thomas Gerard Mattio, MD

According to 2025 Medicare claims, Thomas Mattio, MD (NPI: 1356382535) practices neurology in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC (NPI: 1578516803; TIN: 391731465) and primary practice location at 54956-1993. Mattio is affiliated with the THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Mattio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 246 traditional Medicare patients, billed 47,076 HCPCS/CPT codes, and received $353,314 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 1,787 prescription claims across 221 beneficiaries totaling $584,524 in drug costs, led by Tecfidera (Dimethyl Fumarate). Open Payments data shows 13 records totaling $284. 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 risen steadily, from $227,311 to $353,314. In contrast, Part D prescription costs have fallen sharply in recent years, from $1,099,153 to $584,524. 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$177K$353K2015 Medicare payment: $227,311 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $234,129 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $235,467 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $271,255 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $341,766 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $300,176 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $329,194 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $279,509 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $298,149 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $353,314 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201536839,049$227,311
201636939,075$234,129
201739339,430$235,467
201835348,936$271,255
201936350,244$341,766
202029243,821$300,176
202130953,085$329,194
202225745,079$279,509
202323347,851$298,149
202424647,076$353,314

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$1.1M$2.3M2015 Drug cost: $1,099,153 (USD; Tot_Drug_Cst)2016 Drug cost: $1,275,746 (USD; Tot_Drug_Cst)2017 Drug cost: $1,645,535 (USD; Tot_Drug_Cst)2018 Drug cost: $1,858,057 (USD; Tot_Drug_Cst)2019 Drug cost: $2,265,296 (USD; Tot_Drug_Cst)2020 Drug cost: $2,276,748 (USD; Tot_Drug_Cst)2021 Drug cost: $1,756,899 (USD; Tot_Drug_Cst)2022 Drug cost: $1,340,853 (USD; Tot_Drug_Cst)2023 Drug cost: $970,808 (USD; Tot_Drug_Cst)2024 Drug cost: $584,524 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153273,442$1,099,153
20163493,473$1,275,746
20173363,477$1,645,535
20183403,427$1,858,057
20193212,991$2,265,296
20202962,612$2,276,748
20212762,514$1,756,899
20222352,201$1,340,853
20232291,829$970,808
20242211,787$584,524

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 more4969$82
95886Needle measurement of electrical activity in arm or leg muscles, complete study5984$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3337$57
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle35115$56
J0585Injection, onabotulinumtoxina, 1 unit3534,900$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TecfideraDimethyl Fumarate31930$285,581
PrivigenImmun Glob G(Igg)/Pro/Iga 0-5032928$115,415
KeppraLevetiracetam12390$18,528
NuedextaDextromethorphan Hbr/Quinidine11330$15,530
LevetiracetamLevetiracetam1578,659$5,521

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.13$284ABBVIE 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 Thomas Gerard Mattio, MD?

Tedicare shows public-source Medicare data for Thomas Gerard Mattio, MD (NPI 1356382535), 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 Gerard Mattio, MD have ACO affiliation data?

Thomas Gerard Mattio, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Thomas Gerard Mattio, MD?

Thomas Gerard Mattio, MD is linked to THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC (billing NPI 1578516803) in the available physician profile data.

Does Thomas Gerard Mattio, MD have Open Payments data?

Thomas Gerard Mattio, MD has 13 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.