Physician

Richard M Avery, DO

According to 2025 Medicare claims, Richard Avery, DO (NPI: 1023073822) practices internal medicine in the Killeen-Temple, TX market, with the plurality of this provider's patient population coming from Bell, TX. This provider's primary affiliated billing organization is METROPLEX CLINIC PHYSICIANS, INC. (NPI: 1891730396; TIN: 113762050) and primary practice location at 76549-4345.

Avery's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 472 traditional Medicare patients, billed 2,926 HCPCS/CPT codes, and received $175,390 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 2,998 prescription claims across 170 beneficiaries totaling $319,419 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 205 claims. Open Payments data shows 15 records totaling $255. 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 $114,731 to $175,390. Similarly, Part D prescription costs have moved sharply higher in recent years, from $11,778 to $319,419. For DME billing, reported payments moved sharply higher in recent years, from $5,225 to $78,395.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$99K$198K2015 Medicare payment: $114,731 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $113,930 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $57,566 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $20,339 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $144,408 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $133,300 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $170,330 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $198,016 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $191,577 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $175,390 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,5414,632$114,731
20162,7584,656$113,930
20171,5052,560$57,566
2018227277$20,339
20195022,032$144,408
20204682,124$133,300
20215942,177$170,330
20225632,698$198,016
20235122,608$191,577
20244722,926$175,390

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$206K$411K2015 Drug cost: $11,778 (USD; Tot_Drug_Cst)2016 Drug cost: $11,117 (USD; Tot_Drug_Cst)2017 Drug cost: $10,431 (USD; Tot_Drug_Cst)2018 Drug cost: $30,905 (USD; Tot_Drug_Cst)2019 Drug cost: $173,293 (USD; Tot_Drug_Cst)2020 Drug cost: $228,382 (USD; Tot_Drug_Cst)2021 Drug cost: $278,259 (USD; Tot_Drug_Cst)2022 Drug cost: $368,298 (USD; Tot_Drug_Cst)2023 Drug cost: $411,404 (USD; Tot_Drug_Cst)2024 Drug cost: $319,419 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R118$11,778
2016N/R106$11,117
201732182$10,431
201890448$30,905
20191301,901$173,293
20201402,306$228,382
20211902,806$278,259
20221863,115$368,298
20231563,023$411,404
20241702,998$319,419

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$30K$60K2019 Medicare payment: $2,129 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,301 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $26,144 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $37,093 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $55,258 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $59,663 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R99$2,129
2020N/R97$6,301
202136222$26,144
202259374$37,093
202341393$55,258
202417205$59,663

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit132132$122
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more76197$118
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4411,396$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more113147$60
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's346503$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MounjaroTirzepatide431,680$57,473
OzempicSemaglutide361,530$45,923
EliquisApixaban301,740$32,945
JanuviaSitagliptin Phosphate13989$19,089
XareltoRivaroxaban12540$9,602

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN1780$42,869
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R12$12,133
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R14$1,372
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R24$1,193
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R15$1,091

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.15$255Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Richard M. Avery, DO?

Tedicare shows public-source Medicare data for Richard M. Avery, DO (NPI 1023073822), 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 Richard M. Avery, DO have ACO affiliation data?

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

What billing organization is linked to Richard M. Avery, DO?

Richard M. Avery, DO is linked to METROPLEX CLINIC PHYSICIANS, INC. (billing NPI 1891730396) in the available physician profile data.

Does Richard M. Avery, DO have Open Payments data?

Richard M. Avery, DO has 15 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.