Physician

Joseph W Carlson, MD

According to 2025 Medicare claims, Joseph Carlson, MD (NPI: 1013939693) practices orthopedic surgery in the Bismarck, ND market, with the plurality of this provider's patient population coming from Burleigh, ND. This provider's primary affiliated billing organization is BONE & JOINT CENTER PC (NPI: 1750307872; TIN: 450321538) and primary practice location at 58501-4586. Carlson is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), The Rural Advantage LLC (ACO ID: A5257), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Carlson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 475 traditional Medicare patients, billed 12,725 HCPCS/CPT codes, and received $222,011 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 370 prescription claims across 194 beneficiaries totaling $782 in drug costs, led by Amoxicillin (Amoxicillin). 2023 DME data shows 17 claims. Open Payments data shows 8 records totaling $234. 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 $3,497 to $782. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $2,268 and ending at $1,442.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	607	3,380	$234,350
2016	547	2,925	$213,594
2017	595	3,637	$273,363
2018	562	2,892	$224,077
2019	617	3,235	$259,038
2020	486	2,428	$229,564
2021	551	2,721	$253,005
2022	525	3,123	$242,837
2023	453	3,192	$215,857
2024	475	12,725	$222,011

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	135	270	$3,497
2016	83	146	$1,730
2017	109	196	$1,273
2018	94	155	$1,895
2019	110	178	$1,135
2020	107	177	$780
2021	127	232	$877
2022	149	252	$571
2023	175	307	$868
2024	194	370	$782

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	43	47	$2,507
2016	20	20	$1,089
2017	22	56	$2,674
2018	21	21	$905
2019	39	39	$2,085
2020	30	30	$1,734
2021	20	20	$1,216
2022	18	18	$1,109
2023	17	17	$1,173
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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	141	149	$120
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	231	323	$57
20610	Aspiration and/or injection of fluid from large joint	152	245	$50
77077	X-ray of joints, multiple	194	202	$31
73560	X-ray of knee, 1-2 views	195	243	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin	Amoxicillin	285	405	$334
Celecoxib	Celecoxib	12	345	$164
Clindamycin Hcl	Clindamycin Hcl	40	71	$57

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.	8	$234	Heron Therapeutics, 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 Joseph W. Carlson, MD?

Tedicare shows public-source Medicare data for Joseph W. Carlson, MD (NPI 1013939693), 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 Joseph W. Carlson, MD have ACO affiliation data?

Joseph W. Carlson, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), The Rural Advantage LLC (MSSP, ACO ID A5257), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Joseph W. Carlson, MD?

Joseph W. Carlson, MD is linked to BONE & JOINT CENTER PC (billing NPI 1750307872) in the available physician profile data.

Does Joseph W. Carlson, MD have Open Payments data?

Joseph W. Carlson, MD has 8 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.