Physician

Jennifer L Thone, MD

According to 2025 Medicare claims, Jennifer Thone, MD (NPI: 1386616704) practices family practice in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Rock, MN. This provider's primary affiliated billing organization is SANFORD HEALTH NETWORK (NPI: 1174554760; TIN: 460388596) and primary practice location at 56156-1067. Thone is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), participating under the MSSP model.

Thone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 85 traditional Medicare patients, billed 210 HCPCS/CPT codes, and received $12,221 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 8,363 prescription claims across 691 beneficiaries totaling $428,101 in drug costs, led by Eliquis (Apixaban). DME data shows 373 claims. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $253,843 to $428,101. For DME billing, reported payments rose steadily, from $2,108 to $19,948.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	88	217	$11,454
2016	91	192	$9,473
2017	84	179	$9,591
2018	124	241	$13,332
2019	132	270	$13,154
2020	90	229	$12,827
2021	78	200	$12,012
2022	76	181	$11,479
2023	90	221	$14,326
2024	85	210	$12,221

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	599	4,391	$253,843
2016	656	4,768	$245,419
2017	648	4,577	$249,334
2018	694	5,263	$318,106
2019	508	5,939	$319,971
2020	495	6,908	$324,546
2021	521	7,903	$350,606
2022	606	7,627	$424,287
2023	720	8,371	$506,421
2024	691	8,363	$428,101

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	24	66	$772
2016	19	64	$744
2017	16	86	$1,670
2018	19	166	$4,691
2019	30	211	$6,397
2020	29	213	$6,045
2021	14	88	$1,697
2022	55	156	$4,025
2023	78	346	$16,478
2024	76	373	$18,038

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	15	$75
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	30	$59
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	68	$53
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	13	15	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	100	3,364	$66,675
Ozempic	Semaglutide	39	1,484	$46,427
Xarelto	Rivaroxaban	45	2,062	$36,789
Januvia	Sitagliptin Phosphate	54	1,386	$26,249
Janumet	Sitagliptin Phos/Metformin Hcl	14	600	$10,716

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	11	$4,666
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	25	$2,231
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	17	$1,710
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	36	$1,437
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	N	N/R	25	$1,252

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Jennifer L. Thone, MD?

Tedicare shows public-source Medicare data for Jennifer L. Thone, MD (NPI 1386616704), 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 Jennifer L. Thone, MD have ACO affiliation data?

Jennifer L. Thone, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578).

What billing organization is linked to Jennifer L. Thone, MD?

Jennifer L. Thone, MD is linked to SANFORD HEALTH NETWORK (billing NPI 1174554760) in the available physician profile data.

Does Jennifer L. Thone, 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.