Physician

Antonio J Flores, MD

According to 2025 Medicare claims, Antonio Flores, MD (NPI: 1013910249) practices hand surgery in the Cape Coral-Fort Myers, FL market, with the plurality of this provider's patient population coming from Lee, FL. This provider's primary affiliated billing organization is ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. (NPI: 1720187495; TIN: 651011457) and primary practice location at 33912-4707.

Flores' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 551 traditional Medicare patients, billed 3,692 HCPCS/CPT codes, and received $222,005 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 197 prescription claims across 169 beneficiaries totaling $1,208 in drug costs, led by Methylprednisolone (Methylprednisolone). DME data shows 66 claims. Open Payments data shows 1 records totaling $19. 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. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $5,377 to $1,208. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $0 to $0.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	706	4,975	$312,050
2016	685	4,784	$299,224
2017	693	4,855	$285,371
2018	604	4,443	$256,615
2019	645	4,659	$255,802
2020	598	3,978	$235,143
2021	649	4,286	$276,947
2022	578	3,815	$227,135
2023	594	4,351	$263,108
2024	551	3,692	$222,005

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	188	311	$5,377
2016	181	290	$5,175
2017	167	251	$2,630
2018	126	175	$1,791
2019	160	203	$1,754
2020	151	205	$1,746
2021	201	238	$1,873
2022	192	240	$1,893
2023	226	297	$2,487
2024	169	197	$1,208

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	77	77	$9,662
2016	82	83	$14,106
2017	110	111	$18,371
2018	105	108	$17,095
2019	96	97	$15,935
2020	72	74	$13,830
2021	546	548	$361,428
2022	75	87	$11,275
2023	81	81	$16,560
2024	66	66	$13,984

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	383	$95
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	230	304	$68
73130	X-ray of hand, minimum of 3 views	222	302	$27
J1100	Injection, dexamethasone sodium phosphate, 1 mg	251	1,213	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	135	810	$904
Meloxicam	Meloxicam	36	1,065	$46

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
L3906	Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	N	23	23	$8,251
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	N	16	16	$4,408
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	27	27	$1,326

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$19	Coastal Medical Technologies Llc
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 Antonio J. Flores, MD?

Tedicare shows public-source Medicare data for Antonio J. Flores, MD (NPI 1013910249), 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 Antonio J. Flores, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Antonio J. Flores, MD?

Antonio J. Flores, MD is linked to ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. (billing NPI 1720187495) in the available physician profile data.

Does Antonio J. Flores, MD have Open Payments data?

Antonio J. Flores, MD has 1 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.