Physician

Stephen Sean Luther, M.D.

According to 2025 Medicare claims, Stephen Luther, M.D. (NPI: 1033193024) practices internal medicine in the Hilton Head Island-Bluffton-Port Royal, SC market, with the plurality of this provider's patient population coming from Beaufort, SC. This provider's primary affiliated billing organization is SYMBIOS MEDICAL SERVICES (NPI: 1083389589; TIN: 872170729) and primary practice location at 29926-2498. Luther is affiliated with the Aledade 48 National MSSP (ACO ID: A4671), participating under the MSSP model.

Luther's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,254 traditional Medicare patients, billed 34,162 HCPCS/CPT codes, and received $1,225,518 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 13,020 prescription claims across 1,721 beneficiaries totaling $781,692 in drug costs, led by Eliquis (Apixaban). DME data shows 118 claims. Open Payments data shows 2 records totaling $48. 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 moved sharply higher in recent years, from $473,648 to $1,225,518. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $10,807 to $27,672.

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$613K$1.2M2015 Medicare payment: $473,648 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $573,759 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $570,366 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $542,274 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $532,960 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $463,313 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $495,360 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $768,235 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,158,344 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,225,518 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,6536,662$473,648
20161,9747,683$573,759
20172,1327,655$570,366
20182,1256,914$542,274
20192,1456,672$532,960
20202,1285,705$463,313
20211,9675,191$495,360
20222,08415,421$768,235
20232,19526,289$1,158,344
20242,25434,162$1,225,518

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$652K$1.3M2015 Drug cost: $980,152 (USD; Tot_Drug_Cst)2016 Drug cost: $1,082,923 (USD; Tot_Drug_Cst)2017 Drug cost: $1,186,206 (USD; Tot_Drug_Cst)2018 Drug cost: $1,259,757 (USD; Tot_Drug_Cst)2019 Drug cost: $1,248,032 (USD; Tot_Drug_Cst)2020 Drug cost: $1,303,414 (USD; Tot_Drug_Cst)2021 Drug cost: $1,200,682 (USD; Tot_Drug_Cst)2022 Drug cost: $1,095,711 (USD; Tot_Drug_Cst)2023 Drug cost: $1,081,914 (USD; Tot_Drug_Cst)2024 Drug cost: $781,692 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,47815,641$980,152
20161,69317,610$1,082,923
20171,94620,322$1,186,206
20182,05721,574$1,259,757
20192,04721,231$1,248,032
20202,11720,376$1,303,414
20212,03719,562$1,200,682
20222,07216,863$1,095,711
20231,99815,710$1,081,914
20241,72113,020$781,692

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$9.1K$18K2015 Medicare payment: $8,804 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $8,904 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $7,649 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,553 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $18,105 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,179 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $9,135 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $12,407 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $7,029 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $3,360 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015144359$8,804
2016104313$8,904
201782243$7,649
2018117341$9,553
2019115331$18,105
202068240$5,179
202156235$9,135
202261238$12,407
202347166$7,029
202420118$3,360

* / # = 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 visit1,5271,527$125
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2,1366,835$84
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's1,8094,495$13
80053Blood test, comprehensive group of blood chemicals1,0261,312$10
36415Insertion of needle into vein for collection of blood sample1,1431,544$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1278,914$170,055
JanuviaSitagliptin Phosphate563,690$65,496
XareltoRivaroxaban292,310$41,466
JardianceEmpagliflozin191,590$28,820
TrulicityDulaglutide19812$26,108

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), eachNN/R13$1,071
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN2046$764
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R13$714
E0656Segmental pneumatic appliance for use with pneumatic compressor, trunkYN/R12$603
A7038Filter, disposable, used with positive airway pressure deviceNN/R12$178

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$48Amgen 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 Stephen Sean Luther, M.D.?

Tedicare shows public-source Medicare data for Stephen Sean Luther, M.D. (NPI 1033193024), 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 Stephen Sean Luther, M.D. have ACO affiliation data?

Stephen Sean Luther, M.D. is shown with ACO affiliation data for Aledade 48 National MSSP (MSSP, ACO ID A4671).

What billing organization is linked to Stephen Sean Luther, M.D.?

Stephen Sean Luther, M.D. is linked to SYMBIOS MEDICAL SERVICES (billing NPI 1083389589) in the available physician profile data.

Does Stephen Sean Luther, M.D. have Open Payments data?

Stephen Sean Luther, 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.