Physician

Thomas Brice Addison, MD

According to 2025 Medicare claims, Thomas Addison, MD (NPI: 1871594754) practices internal medicine in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is BENEFIS HOSPITALS INC (NPI: 1780968974; TIN: 810232122) and primary practice location at 59405-5183. Addison is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Addison's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,104 traditional Medicare patients, billed 4,965 HCPCS/CPT codes, and received $172,076 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 13,114 prescription claims across 450 beneficiaries totaling $847,866 in drug costs, led by Eliquis (Apixaban). DME data shows 163 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $45,424 to $31,229.

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$125K$250K2015 Medicare payment: $250,423 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $218,445 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $205,856 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $207,804 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $219,025 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $190,539 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $173,622 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $174,072 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $150,456 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $172,076 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,5494,865$250,423
20161,6344,336$218,445
20171,9074,498$205,856
20182,3015,249$207,804
20192,3805,313$219,025
20201,7764,097$190,539
20211,7703,804$173,622
20221,8754,610$174,072
20231,5823,217$150,456
20242,1044,965$172,076

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$609K$1.2M2015 Drug cost: $1,064,503 (USD; Tot_Drug_Cst)2016 Drug cost: $1,215,577 (USD; Tot_Drug_Cst)2017 Drug cost: $1,134,551 (USD; Tot_Drug_Cst)2018 Drug cost: $1,218,136 (USD; Tot_Drug_Cst)2019 Drug cost: $1,202,918 (USD; Tot_Drug_Cst)2020 Drug cost: $1,113,966 (USD; Tot_Drug_Cst)2021 Drug cost: $828,081 (USD; Tot_Drug_Cst)2022 Drug cost: $938,004 (USD; Tot_Drug_Cst)2023 Drug cost: $946,176 (USD; Tot_Drug_Cst)2024 Drug cost: $847,866 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201560321,604$1,064,503
201659521,470$1,215,577
201754620,023$1,134,551
201853819,740$1,218,136
201950522,555$1,202,918
202047029,206$1,113,966
202143023,116$828,081
202248132,342$938,004
202350618,373$946,176
202445013,114$847,866

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$25K$49K2015 Medicare payment: $48,353 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $19,178 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $46,849 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $49,310 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $42,212 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $18,943 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $14,431 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $19,507 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $25,520 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $22,900 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201569702$48,353
201630366$19,178
201788503$46,849
201824671$49,310
201929615$42,212
202011333$18,943
202113300$14,431
2022N/R309$19,507
2023N/R288$25,520
2024N/R163$22,900

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit136136$128
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more195474$70
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function746812$50
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician142143$10
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8991,124$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban4067,640$155,034
XareltoRivaroxaban1124,974$89,790
Trelegy ElliptaFluticasone/Umeclidin/Vilanter351,364$30,125
JanuviaSitagliptin Phosphate94961$19,459
GlatopaGlatiramer Acetate11310$19,378

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R11$9,647
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R16$8,826
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R35$2,578
E0601Continuous positive airway pressure (cpap) deviceYN/R36$846
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R35$617

Open Payments Summary

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

FAQ

What Medicare data is available for Thomas Brice Addison, MD?

Tedicare shows public-source Medicare data for Thomas Brice Addison, MD (NPI 1871594754), 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 Brice Addison, MD have ACO affiliation data?

Thomas Brice Addison, MD is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Thomas Brice Addison, MD?

Thomas Brice Addison, MD is linked to BENEFIS HOSPITALS INC (billing NPI 1780968974) in the available physician profile data.

Does Thomas Brice Addison, 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.