Physician

Andrew J. Thornton, M.D.

According to 2025 Medicare claims, Andrew Thornton, M.D. (NPI: 1962458091) practices nephrology in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is NEPHROLOGY ASSOCIATES OF CENTRAL MAINE (NPI: 1528085586; TIN: 010349848) and primary practice location at 04240-5801. Thornton is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Thornton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 361 traditional Medicare patients, billed 1,168 HCPCS/CPT codes, and received $165,669 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 897 prescription claims across 218 beneficiaries totaling $184,189 in drug costs, led by Jardiance (Empagliflozin). 2023 DME data shows 43 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 moved up and down with repeated peaks and valleys, starting at $177,294 and ending at $165,669. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $168,491 and ending at $184,189. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	570	2,383	$177,294
2016	515	1,735	$135,684
2017	493	1,745	$118,771
2018	456	1,874	$128,854
2019	346	1,294	$97,197
2020	463	1,522	$142,600
2021	406	1,592	$180,354
2022	370	1,152	$132,839
2023	391	963	$116,061
2024	361	1,168	$165,669

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	234	1,059	$168,491
2016	211	830	$131,296
2017	188	691	$181,168
2018	157	623	$101,070
2019	149	573	$80,132
2020	191	741	$167,019
2021	195	916	$148,917
2022	189	790	$107,592
2023	211	902	$171,973
2024	218	897	$184,189

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	11	$152
2017	N/R	29	$1,065
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	56	$828
2023	N/R	43	$460
2024	N/R	N/R	N/R

* / # = 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
90960	Dialysis services, 4 or more physician visits per month (20 years or older)	50	357	$257
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	48	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	248	$70
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	183	$58
90935	Hemodialysis procedure with physician evaluation	46	91	$53

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	27	1,890	$36,683
Farxiga	Dapagliflozin Propanediol	23	1,630	$30,450
Lokelma	Sodium Zirconium Cyclosilicate	25	1,274	$21,507
Sevelamer Carbonate	Sevelamer Carbonate	45	3,095	$6,416
Potassium Citrate Er	Potassium Citrate	20	1,622	$1,377

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Andrew J. Thornton, M.D.?

Tedicare shows public-source Medicare data for Andrew J. Thornton, M.D. (NPI 1962458091), 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 Andrew J. Thornton, M.D. have ACO affiliation data?

Andrew J. Thornton, M.D. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Andrew J. Thornton, M.D.?

Andrew J. Thornton, M.D. is linked to NEPHROLOGY ASSOCIATES OF CENTRAL MAINE (billing NPI 1528085586) in the available physician profile data.

Does Andrew J. Thornton, M.D. 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.