Physician

Akshay Sebastian Thomas, M.D.

According to 2025 Medicare claims, Akshay Thomas, M.D. (NPI: 1528324662) practices ophthalmology in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is TENNESSEE RETINA PC (NPI: 1497828321; TIN: 621042760) and primary practice location at 42103-8954. Thomas is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and MID-TENNESSEE COMMUNITY ACO LLC (ACO ID: A5543), participating under the MSSP model.

Thomas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,229 traditional Medicare patients, billed 55,812 HCPCS/CPT codes, and received $3,443,291 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 1,835 prescription claims across 448 beneficiaries totaling $699,413 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 74 records totaling $357,504. 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 moved sharply higher in recent years, from $10,256 to $3,443,291. Similarly, Part D prescription costs have moved sharply higher in recent years, from $8,331 to $699,413. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	71	142	$10,256
2017	137	231	$17,808
2018	32	47	$3,883
2019	1,047	11,132	$2,135,848
2020	1,085	11,293	$2,246,512
2021	1,106	12,563	$2,625,620
2022	1,187	16,254	$2,839,966
2023	1,248	35,189	$3,258,457
2024	1,229	55,812	$3,443,291

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	55	146	$8,331
2016	87	278	$12,744
2017	206	662	$30,194
2018	126	330	$42,686
2019	211	714	$43,605
2020	277	1,083	$80,631
2021	328	1,335	$305,519
2022	339	1,350	$368,953
2023	396	1,650	$425,861
2024	448	1,835	$699,413

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
J0178	Injection, aflibercept, 1 mg	252	2,022	$646
67028	Injection of drug into eye	446	1,786	$82
92014	Established patient complete exam of visual system	991	2,165	$79
92134	Imaging of retina	847	2,435	$27
92250	Photography of the retina	646	728	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	74	2,072	$542,760
Prednisolone Acetate	Prednisolone Acetate	406	21,113	$20,900
Difluprednate	Difluprednate	165	4,386	$15,496
Mycophenolate Mofetil	Mycophenolate Mofetil	75	3,145	$10,670
Valacyclovir	Valacyclovir Hcl	68	4,007	$5,067

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	49	$20,172	Genentech USA, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	25	$337,333	Genentech, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Akshay Sebastian Thomas, M.D.?

Tedicare shows public-source Medicare data for Akshay Sebastian Thomas, M.D. (NPI 1528324662), 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 Akshay Sebastian Thomas, M.D. have ACO affiliation data?

Akshay Sebastian Thomas, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and MID-TENNESSEE COMMUNITY ACO LLC (MSSP, ACO ID A5543).

What billing organization is linked to Akshay Sebastian Thomas, M.D.?

Akshay Sebastian Thomas, M.D. is linked to TENNESSEE RETINA PC (billing NPI 1497828321) in the available physician profile data.

Does Akshay Sebastian Thomas, M.D. have Open Payments data?

Akshay Sebastian Thomas, M.D. has 74 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.