Physician

Gary A Matthys, MD

According to 2025 Medicare claims, Gary Matthys, MD (NPI: 1922025568) practices orthopedic surgery in the Fargo, ND-MN market, with the plurality of this provider's patient population coming from Cass, ND. This provider's primary affiliated billing organization is GARY A. MATTHYS MD PLC (NPI: 1568643823; TIN: 208818487) and primary practice location at 58078-7402. Matthys is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), Collaborative ACO 30, LLC (ACO ID: A5483), Essentia Health ACO, Inc. (ACO ID: A5617), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Matthys' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 395 traditional Medicare patients, billed 1,560 HCPCS/CPT codes, and received $224,671 in Medicare payments. The top billing code was 27130 (Replacement of thigh bone and hip joint with prosthesis). Part D data shows 1,117 prescription claims across 342 beneficiaries totaling $18,824 in drug costs, led by Eliquis (Apixaban). DME data shows 26 claims. Open Payments data shows 4 records totaling $89. 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 $325,387 to $224,671. In contrast, Part D prescription costs have moved sharply higher in recent years, from $4,355 to $18,824. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $5,648 to $2,529.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	582	3,207	$325,387
2016	665	1,763	$333,972
2017	710	2,246	$405,084
2018	833	2,244	$374,852
2019	655	1,452	$359,799
2020	612	1,408	$326,434
2021	616	1,601	$332,575
2022	497	1,447	$276,770
2023	469	1,691	$252,772
2024	395	1,560	$224,671

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	182	358	$4,355
2016	220	398	$4,775
2017	272	528	$4,861
2018	268	491	$3,201
2019	188	334	$1,094
2020	183	474	$3,854
2021	331	848	$9,871
2022	326	844	$12,842
2023	332	878	$10,657
2024	342	1,117	$18,824

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	31	32	$5,018
2016	38	40	$7,911
2017	41	41	$5,027
2018	24	24	$999
2019	24	24	$1,126
2020	23	23	$1,245
2021	15	15	$934
2022	16	16	$941
2023	13	13	$830
2024	12	26	$873

* / # = 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
27130	Replacement of thigh bone and hip joint with prosthesis	98	100	$939
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	101	101	$151
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	100	$122
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$80
20610	Aspiration and/or injection of fluid from large joint	63	80	$47

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	28	724	$13,766
Celecoxib	Celecoxib	110	1,541	$1,946
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	189	697	$1,100
Cephalexin	Cephalexin	141	694	$543
Oxycodone Hcl	Oxycodone Hcl	96	405	$317

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	12	12	$726
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	14	$147

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$89	DePuy Synthes Sales 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 Gary A. Matthys, MD?

Tedicare shows public-source Medicare data for Gary A. Matthys, MD (NPI 1922025568), 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 Gary A. Matthys, MD have ACO affiliation data?

Gary A. Matthys, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), Essentia Health ACO, Inc. (MSSP, ACO ID A5617), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Gary A. Matthys, MD?

Gary A. Matthys, MD is linked to GARY A. MATTHYS MD PLC (billing NPI 1568643823) in the available physician profile data.

Does Gary A. Matthys, MD have Open Payments data?

Gary A. Matthys, MD 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.