Physician

Matthew Thomas Hummel, M.D.

According to 2025 Medicare claims, Matthew Hummel, M.D. (NPI: 1881612679) practices orthopedic surgery in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Boone, KY. This provider's primary affiliated billing organization is ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC (NPI: 1598714560; TIN: 611274265) and primary practice location at 41042-4824. Hummel is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Hummel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 543 traditional Medicare patients, billed 3,516 HCPCS/CPT codes, and received $343,013 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 3,654 prescription claims across 599 beneficiaries totaling $96,200 in drug costs, led by Eliquis (Apixaban). DME data shows 68 claims. Open Payments data shows 4 records totaling $245. 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 $416,402 to $343,013. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $80,755 and ending at $96,200. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $27,108 to $6,848.

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$278K$556K2015 Medicare payment: $416,402 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $413,060 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $556,106 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $463,198 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $464,313 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $392,007 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $425,428 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $341,190 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $313,181 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $343,013 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158705,925$416,402
20168484,347$413,060
20179005,577$556,106
20188595,741$463,198
20198275,106$464,313
20207706,208$392,007
20217637,347$425,428
20225753,189$341,190
20235253,720$313,181
20245433,516$343,013

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$48K$96K2015 Drug cost: $80,755 (USD; Tot_Drug_Cst)2016 Drug cost: $37,734 (USD; Tot_Drug_Cst)2017 Drug cost: $53,457 (USD; Tot_Drug_Cst)2018 Drug cost: $55,289 (USD; Tot_Drug_Cst)2019 Drug cost: $55,868 (USD; Tot_Drug_Cst)2020 Drug cost: $29,938 (USD; Tot_Drug_Cst)2021 Drug cost: $38,757 (USD; Tot_Drug_Cst)2022 Drug cost: $50,538 (USD; Tot_Drug_Cst)2023 Drug cost: $71,568 (USD; Tot_Drug_Cst)2024 Drug cost: $96,200 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158382,994$80,755
20168342,719$37,734
20178672,874$53,457
20188383,004$55,289
20197752,842$55,868
20206972,815$29,938
20216533,237$38,757
20225702,955$50,538
20235693,081$71,568
20245993,654$96,200

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$12K$25K2015 Medicare payment: $24,571 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $20,861 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,004 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,985 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,470 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,876 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,519 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,923 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,711 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,059 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015104126$24,571
2016106125$20,861
20172929$1,004
20187373$3,985
20195656$3,470
20205473$3,876
20213737$2,519
20222828$1,923
20233446$2,711
20246868$5,059

* / # = 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
27447Replacement of knee joint, both sides of knee137141$934
20985Computer-assisted surgery for muscle and bone procedure132136$110
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more347450$88
73502X-ray of hip, 2-3 views124184$31
73562X-ray of knee, 3 views247382$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1213,537$67,281
CelecoxibCelecoxib35010,525$10,959
Oxycodone HclOxycodone Hcl5714,325$3,276
Tizanidine HclTizanidine Hcl5929,450$2,839
CefadroxilCefadroxil3892,749$2,396

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0141Walker, rigid, wheeled, adjustable or fixed heightN6868$5,059

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$245Stryker Corporation
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 Matthew Thomas Hummel, M.D.?

Tedicare shows public-source Medicare data for Matthew Thomas Hummel, M.D. (NPI 1881612679), 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 Matthew Thomas Hummel, M.D. have ACO affiliation data?

Matthew Thomas Hummel, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to Matthew Thomas Hummel, M.D.?

Matthew Thomas Hummel, M.D. is linked to ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC (billing NPI 1598714560) in the available physician profile data.

Does Matthew Thomas Hummel, M.D. have Open Payments data?

Matthew Thomas Hummel, M.D. has 4 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.