Physician

Thomas P Bormes, MD

According to 2025 Medicare claims, Thomas Bormes, MD (NPI: 1639156995) practices urology in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53406-3735. Bormes is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Bormes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 477 traditional Medicare patients, billed 3,906 HCPCS/CPT codes, and received $134,134 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 5,835 prescription claims across 946 beneficiaries totaling $269,726 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 44 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 declined steadily, from $232,208 to $134,134. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $140 and ending at $1,290.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	669	8,327	$232,208
2016	764	9,830	$274,291
2017	772	11,598	$276,008
2018	736	11,101	$270,161
2019	696	6,498	$235,568
2020	639	3,935	$183,374
2021	639	3,993	$205,225
2022	573	3,839	$167,575
2023	512	3,240	$137,865
2024	477	3,906	$134,134

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	541	3,616	$195,228
2016	620	4,305	$206,406
2017	752	5,683	$268,566
2018	790	5,679	$308,705
2019	832	5,730	$296,629
2020	878	5,824	$303,174
2021	905	5,771	$275,397
2022	928	5,994	$308,591
2023	942	5,923	$307,091
2024	946	5,835	$269,726

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	69	$6,757
2016	N/R	157	$26,077
2017	N/R	163	$48,812
2018	N/R	157	$35,742
2019	N/R	62	$16,108
2020	N/R	69	$34,429
2021	N/R	104	$38,031
2022	N/R	105	$39,227
2023	12	58	$17,053
2024	12	44	$15,178

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	79	93	$173
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	552	$83
51741	Electronic assessment of bladder emptying	225	290	$9
51798	Ultrasound measurement of bladder capacity after voiding	366	545	$7
81003	Automated urinalysis test	77	108	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	161	8,356	$128,862
Tamsulosin Hcl	Tamsulosin Hcl	1,790	130,296	$28,597
Gemtesa	Vibegron	24	1,250	$20,534
Finasteride	Finasteride	1,835	145,064	$19,963
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	302	14,464	$14,002

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	12	44	$15,178

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 Thomas P. Bormes, MD?

Tedicare shows public-source Medicare data for Thomas P. Bormes, MD (NPI 1639156995), 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 P. Bormes, MD have ACO affiliation data?

Thomas P. Bormes, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Thomas P. Bormes, MD?

Thomas P. Bormes, MD is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Thomas P. Bormes, 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.