Physician

Efrain A Torres, M.D.

According to 2025 Medicare claims, Efrain Torres, M.D. (NPI: 1003859265) practices internal medicine in the Providence-Warwick, RI-MA market, with the plurality of this provider's patient population coming from Bristol, MA. This provider's primary affiliated billing organization is GERIATRIC INTERNAL MEDICINE SPECIALISTS, LLC (NPI: 1437454287; TIN: 274614504) and primary practice location at 02740-9998. Torres is affiliated with the Southcoast Accountable Care Organization, LLC (ACO ID: A1522), participating under the MSSP model.

Torres' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 778 traditional Medicare patients, billed 4,136 HCPCS/CPT codes, and received $351,399 in Medicare payments. The top billing code was 99496 (Transitional care management services for problem of high complexity). Part D data shows 42,989 prescription claims across 1,160 beneficiaries totaling $2,426,031 in drug costs, led by Eliquis (Apixaban). DME data shows 313 claims. Open Payments data shows 2 records totaling $29. 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 risen steadily, from $266,494 to $351,399. Similarly, Part D prescription costs have risen steadily, from $1,521,827 to $2,426,031. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $37,848 and ending at $39,653.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	690	3,752	$266,494
2016	844	3,887	$302,971
2017	981	4,254	$346,904
2018	969	4,624	$350,981
2019	865	4,622	$364,882
2020	769	4,186	$343,241
2021	790	5,144	$394,494
2022	814	6,392	$474,779
2023	875	4,992	$413,848
2024	778	4,136	$351,399

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	699	31,191	$1,521,827
2016	829	34,640	$1,584,425
2017	1,017	42,471	$1,865,634
2018	1,100	49,994	$2,570,098
2019	1,020	43,833	$2,304,860
2020	980	34,708	$1,817,495
2021	955	37,427	$2,232,858
2022	981	38,367	$2,313,071
2023	1,152	40,001	$2,626,238
2024	1,160	42,989	$2,426,031

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	181	679	$45,131
2016	173	652	$21,413
2017	143	494	$13,665
2018	181	568	$19,951
2019	169	558	$7,413
2020	111	501	$5,155
2021	99	420	$3,674
2022	74	383	$6,322
2023	49	220	$2,731
2024	54	313	$13,941

* / # = 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
99496	Transitional care management services for problem of high complexity	133	170	$189
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	254	270	$152
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	276	636	$90
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	461	$88
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	388	1,512	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,201	18,971	$394,811
Januvia	Sitagliptin Phosphate	439	9,342	$178,841
Jardiance	Empagliflozin	362	7,384	$151,717
Trulicity	Dulaglutide	117	3,145	$110,766
Tradjenta	Linagliptin	253	4,183	$76,976

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
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	N/R	21	$6,399
E1161	Manual adult size wheelchair, includes tilt in space	Y	N/R	13	$2,847
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	15	$1,088
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	23	67	$1,041
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	13	17	$686

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$29	AstraZeneca Pharmaceuticals LP
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 Efrain A. Torres, M.D.?

Tedicare shows public-source Medicare data for Efrain A. Torres, M.D. (NPI 1003859265), 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 Efrain A. Torres, M.D. have ACO affiliation data?

Efrain A. Torres, M.D. is shown with ACO affiliation data for Southcoast Accountable Care Organization, LLC (MSSP, ACO ID A1522).

What billing organization is linked to Efrain A. Torres, M.D.?

Efrain A. Torres, M.D. is linked to GERIATRIC INTERNAL MEDICINE SPECIALISTS, LLC (billing NPI 1437454287) in the available physician profile data.

Does Efrain A. Torres, M.D. have Open Payments data?

Efrain A. Torres, M.D. has 2 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.