Physician

Thomas F. Essman, MD

According to 2025 Medicare claims, Thomas Essman, MD (NPI: 1366584344) practices ophthalmology in the Joplin, MO-KS market, with the plurality of this provider's patient population coming from Jasper, MO. This provider's primary affiliated billing organization is RAMESH R SHAH, .M.D, P.C. (NPI: 1477717460; TIN: 43-1670663) and primary practice location at 64804-1625. Essman is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Essman's data goes back to 2015 and runs through 2024. For example, in 2022, this provider had 388 traditional Medicare patients, billed 2,503 HCPCS/CPT codes, and received $344,641 in Medicare payments. Part D data shows 194 prescription claims across 77 beneficiaries totaling $7,643 in drug costs. 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 fallen sharply in recent years, from $653,581 to $344,641. Similarly, Part D prescription costs have fallen sharply in recent years, from $17,131 to $7,643. 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$551K$1.1M2015 Medicare payment: $653,581 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $708,205 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $750,366 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,101,644 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $911,267 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $837,988 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $726,382 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $344,641 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156926,847$653,581
20166786,547$708,205
20177276,872$750,366
20188128,663$1,101,644
20196907,061$911,267
20206376,411$837,988
20215825,894$726,382
20223882,503$344,641
2023N/RN/RN/R
2024N/RN/RN/R

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$15K$30K2015 Drug cost: $17,131 (USD; Tot_Drug_Cst)2016 Drug cost: $18,846 (USD; Tot_Drug_Cst)2017 Drug cost: $27,333 (USD; Tot_Drug_Cst)2018 Drug cost: $30,217 (USD; Tot_Drug_Cst)2019 Drug cost: $23,849 (USD; Tot_Drug_Cst)2020 Drug cost: $25,627 (USD; Tot_Drug_Cst)2021 Drug cost: $23,070 (USD; Tot_Drug_Cst)2022 Drug cost: $7,643 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015117320$17,131
2016126437$18,846
2017139432$27,333
2018155386$30,217
2019144305$23,849
2020114296$25,627
2021131324$23,070
202277194$7,643
2023N/RN/RN/R
2024N/RN/RN/R

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.

No connected Part B code-level records for 2024.

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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 F. Essman, MD?

Tedicare shows public-source Medicare data for Thomas F. Essman, MD (NPI 1366584344), 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 F. Essman, MD have ACO affiliation data?

Thomas F. Essman, MD is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Thomas F. Essman, MD?

Thomas F. Essman, MD is linked to RAMESH R SHAH, .M.D, P.C. (billing NPI 1477717460) in the available physician profile data.

Does Thomas F. Essman, 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.