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

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