Physician

John Francis Riordan, M.D.

According to 2025 Medicare claims, John Riordan, M.D. (NPI: 1033381108) practices urology in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 25401-1880. Riordan is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Riordan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 491 traditional Medicare patients, billed 1,333 HCPCS/CPT codes, and received $92,193 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 1,471 prescription claims across 429 beneficiaries totaling $114,689 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 60 claims. Open Payments data shows 4 records totaling $109. 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 declined steadily, from $130,814 to $92,193. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $229 to $197.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	470	2,262	$130,814
2016	501	2,298	$157,193
2017	542	2,333	$158,728
2018	553	2,151	$152,923
2019	458	1,634	$132,160
2020	438	1,306	$103,193
2021	469	1,646	$141,946
2022	484	1,728	$140,119
2023	530	1,203	$105,897
2024	491	1,333	$92,193

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	267	1,150	$64,709
2016	288	1,238	$84,763
2017	313	1,540	$112,187
2018	350	1,715	$219,204
2019	354	1,596	$211,728
2020	329	1,550	$472,490
2021	370	1,519	$281,723
2022	341	1,299	$231,806
2023	366	1,302	$150,453
2024	429	1,471	$114,689

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	47	$5,052
2016	N/R	43	$5,912
2017	11	29	$8,014
2018	13	33	$11,386
2019	N/R	87	$12,218
2020	N/R	93	$35,905
2021	N/R	78	$51,776
2022	N/R	94	$57,202
2023	N/R	80	$40,392
2024	N/R	60	$26,945

* / # = 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	109	109	$98
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	536	$69
99221	Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	25	26	$65
52000	Diagnostic exam of bladder and urethra using an endoscope	53	59	$56
G2211	Visit 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's	247	328	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	81	3,500	$52,376
Elmiron	Pentosan Polysulfate Sodium	13	790	$25,705
Tamsulosin Hcl	Tamsulosin Hcl	445	36,509	$5,715
Finasteride	Finasteride	362	30,935	$4,943
Tadalafil	Tadalafil	27	1,590	$2,450

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	23	$19,999
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	26	$6,769
A4332	Lubricant, individual sterile packet, each	N	N/R	11	$176

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$109	Axonics, 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

Explore More Providers

FAQ

What Medicare data is available for John Francis Riordan, M.D.?

Tedicare shows public-source Medicare data for John Francis Riordan, M.D. (NPI 1033381108), 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 John Francis Riordan, M.D. have ACO affiliation data?

John Francis Riordan, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to John Francis Riordan, M.D.?

John Francis Riordan, M.D. is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does John Francis Riordan, M.D. have Open Payments data?

John Francis Riordan, M.D. has 4 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.