Physician

Brian Anthony Boone, M.D.

According to 2025 Medicare claims, Brian Boone, M.D. (NPI: 1013144989) practices surgical oncology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Fayette, PA. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 26506-1200. Boone is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Boone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 101 traditional Medicare patients, billed 207 HCPCS/CPT codes, and received $53,725 in Medicare payments. The top billing code was 48999 (Other procedure on pancreas). Part D data shows 52 prescription claims across 22 beneficiaries totaling $34,152 in drug costs, led by Sodium Chloride (0.9 % Sodium Chloride). 2022 DME data shows 197 claims. Open Payments data shows 9 records totaling $12,925. 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 $14,921 to $53,725. Similarly, Part D prescription costs have moved sharply higher in recent years, from $244 to $34,152. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	34	57	$14,921
2019	100	238	$39,813
2020	80	187	$47,314
2021	102	219	$45,994
2022	96	177	$46,247
2023	105	232	$53,710
2024	101	207	$53,725

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	17	$244
2016	20	35	$158
2017	15	22	$117
2018	11	39	$760
2019	17	61	$15,340
2020	18	60	$16,008
2021	28	102	$59,082
2022	22	103	$50,235
2023	25	64	$52,020
2024	22	52	$34,152

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	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	207	$150,831
2022	N/R	197	$117,535
2023	N/R	N/R	N/R
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
48999	Other procedure on pancreas	11	11	$1,446
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	31	$75
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	29	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	20	22	$47

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sodium Chloride	0.9 % Sodium Chloride	11	77	$387
Pantoprazole Sodium	Pantoprazole Sodium	11	630	$80

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$12,925	INTUITIVE SURGICAL, INC.
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 Brian Anthony Boone, M.D.?

Tedicare shows public-source Medicare data for Brian Anthony Boone, M.D. (NPI 1013144989), 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 Brian Anthony Boone, M.D. have ACO affiliation data?

Brian Anthony Boone, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Brian Anthony Boone, M.D.?

Brian Anthony Boone, M.D. is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Brian Anthony Boone, M.D. have Open Payments data?

Brian Anthony Boone, M.D. has 9 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.