Physician

Thavalinh Mark Sphabmixay, M.D.

According to 2025 Medicare claims, Thavalinh Sphabmixay, M.D. (NPI: 1841445277) practices family practice in the Merced, CA market, with the plurality of this provider's patient population coming from Merced, CA. This provider's primary affiliated billing organization is MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED (NPI: 1205034964; TIN: 770252214) and primary practice location at 95301-4456. Sphabmixay is affiliated with the CommonSpirit ACO I (ACO ID: A2164), participating under the MSSP model.

Sphabmixay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 665 traditional Medicare patients, billed 5,305 HCPCS/CPT codes, and received $278,148 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 7,649 prescription claims across 473 beneficiaries totaling $788,294 in drug costs, led by Jardiance (Empagliflozin). DME data shows 303 claims. Open Payments data shows 28 records totaling $496. 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 risen steadily, from $84,264 to $278,148. 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 $9,292 and ending at $27,162.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	292	1,624	$84,264
2016	655	6,771	$199,734
2017	746	9,911	$223,369
2018	803	6,974	$274,637
2019	759	7,454	$267,908
2020	635	4,711	$213,702
2021	918	4,622	$268,915
2022	670	4,794	$249,103
2023	626	4,102	$236,685
2024	665	5,305	$278,148

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	483	9,916	$527,962
2016	528	11,391	$699,359
2017	491	9,610	$706,783
2018	449	9,878	$551,792
2019	438	10,448	$607,472
2020	386	9,165	$696,126
2021	415	8,258	$667,850
2022	427	6,604	$642,037
2023	455	7,276	$860,058
2024	473	7,649	$788,294

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	74	236	$7,453
2016	55	218	$8,381
2017	43	358	$32,476
2018	50	168	$6,258
2019	73	363	$31,599
2020	49	497	$118,428
2021	49	385	$14,653
2022	59	316	$12,663
2023	50	311	$15,305
2024	51	303	$9,521

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	338	338	$140
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	632	$88
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	363	591	$66
G0444	Annual depression screening, 5 to 15 minutes	312	312	$21
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	357	639	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	68	5,217	$97,418
Ozempic	Semaglutide	101	3,186	$93,186
Eliquis	Apixaban	82	4,353	$80,101
Farxiga	Dapagliflozin Propanediol	81	4,350	$77,894
Nuplazid	Pimavanserin Tartrate	12	360	$56,038

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	62	$4,260
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$1,839
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	30	65	$899
E1392	Portable oxygen concentrator, rental	Y	N/R	24	$774
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	12	$609

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	28	$496	Bayer Healthcare Pharmaceuticals Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
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 Thavalinh Mark Sphabmixay, M.D.?

Tedicare shows public-source Medicare data for Thavalinh Mark Sphabmixay, M.D. (NPI 1841445277), 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 Thavalinh Mark Sphabmixay, M.D. have ACO affiliation data?

Thavalinh Mark Sphabmixay, M.D. is shown with ACO affiliation data for CommonSpirit ACO I (MSSP, ACO ID A2164).

What billing organization is linked to Thavalinh Mark Sphabmixay, M.D.?

Thavalinh Mark Sphabmixay, M.D. is linked to MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED (billing NPI 1205034964) in the available physician profile data.

Does Thavalinh Mark Sphabmixay, M.D. have Open Payments data?

Thavalinh Mark Sphabmixay, M.D. has 28 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.