Physician

Thomas G. Matkov, M.D.

According to 2025 Medicare claims, Thomas Matkov, M.D. (NPI: 1972524825) practices urology in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53406-3735. Matkov is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Matkov's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 561 traditional Medicare patients, billed 6,892 HCPCS/CPT codes, and received $164,441 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 4,154 prescription claims across 872 beneficiaries totaling $195,988 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 62 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. 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	613	5,182	$229,927
2016	671	15,947	$253,880
2017	735	24,192	$233,574
2018	711	38,474	$229,456
2019	687	22,575	$217,630
2020	617	11,920	$186,924
2021	621	7,285	$209,103
2022	586	5,039	$185,890
2023	577	4,654	$179,353
2024	561	6,892	$164,441

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	420	2,435	$169,695
2016	523	3,161	$165,483
2017	651	3,828	$169,321
2018	683	3,999	$173,890
2019	774	4,133	$173,700
2020	762	4,206	$205,179
2021	801	4,040	$193,101
2022	819	3,836	$207,410
2023	865	3,934	$203,184
2024	872	4,154	$195,988

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$561
2016	N/R	29	$7,926
2017	N/R	18	$6,133
2018	N/R	22	$7,204
2019	N/R	16	$4,519
2020	N/R	20	$5,353
2021	N/R	44	$773
2022	N/R	37	$6,050
2023	N/R	92	$36,225
2024	N/R	62	$4,905

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	76	106	$164
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	751	$85
51741	Electronic assessment of bladder emptying	207	265	$9
51798	Ultrasound measurement of bladder capacity after voiding	283	380	$7

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	90	5,016	$75,990
Tamsulosin Hcl	Tamsulosin Hcl	1,110	88,908	$19,561
Gemtesa	Vibegron	25	1,020	$16,897
Finasteride	Finasteride	1,228	102,302	$13,832
Mirabegron Er	Mirabegron	16	1,075	$11,665

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	14	$3,961
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	20	$551
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	15	$291
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	N/R	13	$103

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 Thomas G. Matkov, M.D.?

Tedicare shows public-source Medicare data for Thomas G. Matkov, M.D. (NPI 1972524825), 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 G. Matkov, M.D. have ACO affiliation data?

Thomas G. Matkov, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Thomas G. Matkov, M.D.?

Thomas G. Matkov, M.D. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Thomas G. Matkov, 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.