Physician

James P Sutherland, MD

According to 2025 Medicare claims, James Sutherland, MD (NPI: 1619965589) practices orthopedic surgery in the Wausau, WI market, with the plurality of this provider's patient population coming from Marathon, WI. This provider's primary affiliated billing organization is ORTHOPAEDIC CENTERS OF WISCONSIN S C (NPI: 1922453398; TIN: 391975482) and primary practice location at 54401-4102.

Sutherland's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 241 traditional Medicare patients, billed 3,878 HCPCS/CPT codes, and received $107,417 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 349 prescription claims across 158 beneficiaries totaling $6,045 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). Open Payments data shows 5 records totaling $140. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $2,930 to $6,045. 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$67K$133K2015 Medicare payment: $99,777 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $111,665 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $133,090 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $125,396 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $113,896 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $92,616 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $88,363 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $82,890 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $90,647 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $107,417 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152661,222$99,777
20162661,249$111,665
20173331,298$133,090
20183101,071$125,396
20192871,055$113,896
2020260964$92,616
20212711,168$88,363
20222301,008$82,890
2023245893$90,647
20242413,878$107,417

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$4.2K$8.5K2015 Drug cost: $2,930 (USD; Tot_Drug_Cst)2016 Drug cost: $2,579 (USD; Tot_Drug_Cst)2017 Drug cost: $4,879 (USD; Tot_Drug_Cst)2018 Drug cost: $3,198 (USD; Tot_Drug_Cst)2019 Drug cost: $3,184 (USD; Tot_Drug_Cst)2020 Drug cost: $8,451 (USD; Tot_Drug_Cst)2021 Drug cost: $6,056 (USD; Tot_Drug_Cst)2022 Drug cost: $2,942 (USD; Tot_Drug_Cst)2023 Drug cost: $6,815 (USD; Tot_Drug_Cst)2024 Drug cost: $6,045 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201598206$2,930
2016120261$2,579
2017138324$4,879
2018155340$3,198
2019176376$3,184
2020175430$8,451
2021190452$6,056
2022200422$2,942
2023184372$6,815
2024158349$6,045

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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more130160$63
20610Aspiration and/or injection of fluid from large joint3557$49
73562X-ray of knee, 3 views93140$34
73502X-ray of hip, 2-3 views69105$33
73030X-ray of shoulder, minimum of 2 views3554$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen78548$733
MupirocinMupirocin81964$588
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen32198$164
Clindamycin HclClindamycin Hcl28151$90
AmoxicillinAmoxicillin6679$52

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.5$140Ethicon US, LLC
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 James P. Sutherland, MD?

Tedicare shows public-source Medicare data for James P. Sutherland, MD (NPI 1619965589), 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 James P. Sutherland, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James P. Sutherland, MD?

James P. Sutherland, MD is linked to ORTHOPAEDIC CENTERS OF WISCONSIN S C (billing NPI 1922453398) in the available physician profile data.

Does James P. Sutherland, MD have Open Payments data?

James P. Sutherland, MD has 5 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.