What is Nicholas Tolsma's specialty?

Nicholas Tolsma (NPI 1669891412) is a Medicare-billing provider whose primary specialty is Physician Assistant in Rapid City, SD.

Where does Nicholas Tolsma practice?

Nicholas Tolsma practices in Rapid City, SD, based on the location reported in the CMS Medicare provider datasets for NPI 1669891412.

How much does Medicare pay Nicholas Tolsma?

Nicholas Tolsma (NPI 1669891412) received approximately $57K in total Medicare Part B payments, serving 342 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1669891412

Nicholas TolsmaPA-C

PRACTICEBLACK HILLS ORTHOPEDIC AND SPINE CENTER, INC.See all providers at this practice →

Physician AssistantRapid City, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

882

Unique beneficiaries

—

Total services

11,434

Distinct HCPCS

Medicare payment

$48K

Peer benchmark

Total Medicare services vs. 496 Physician Assistant providers in SD — top quintile (cohort median 283).

PRESCRIBING · PART D · 2024

Total Rx claims

279

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

34.1%

Top prescribed drugs

Hydrocodone/Acetaminophen95 claims

Tramadol Hcl52 claims

Amoxicillin45 claims

Oxycodone Hcl44 claims

Tizanidine Hcl21 claims

QUALITY · MIPS · 2024

Final MIPS score

95.1

Quality

99.3

Cost

92.6

Improvement activities

40.0

Promoting interop.

90.0

Payment adjustment

0.84%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$60

Payment records

By payment type

Food and Beverage$60

Top paying entities

Food and Beverage$60

REFERRAL NETWORK

Where Nicholas Tolsma's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Clark Duchene Orthopedic Surgery · Rapid City, SD	87	329
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.	73	196
William Zavitz Diagnostic Radiology · Rapid City, SD	17	27
WILCOX, KIRK	14	24
Sylvia Medley Internal Medicine · Washington, DC	14	22
FROST, TIMOTHY	13	27
Brent Thurness Anesthesiology · Sioux Falls, SD	12	20
NPI 1215994967	12	23
Charles Voigt Diagnostic Radiology · Rapid City, SD	11	30

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history