Physician

Stephen Hoover, M.D.

According to 2025 Medicare claims, Stephen Hoover, M.D. (NPI: 1043431935) practices hand surgery in the Charlottesville, VA market, with the plurality of this provider's patient population coming from Charlottesville City, VA. This provider's primary affiliated billing organization is MARTHA JEFFERSON MEDICAL GROUP LLC (NPI: 1275720559; TIN: 261126956) and primary practice location at 22911-4669. Hoover is affiliated with the Sentara Accountable Care Organization, LLC (ACO ID: A4868), participating under the MSSP model.

Hoover's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 676 traditional Medicare patients, billed 2,682 HCPCS/CPT codes, and received $277,626 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 414 prescription claims across 313 beneficiaries totaling $1,305 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 46 claims. No Open Payments records. 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 $147,887 to $277,626. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,146 and ending at $1,305. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	409	2,324	$147,887
2016	457	2,402	$171,981
2017	525	2,449	$189,369
2018	594	2,881	$207,758
2019	598	2,429	$176,315
2020	537	2,256	$182,212
2021	576	2,737	$275,230
2022	587	3,080	$277,155
2023	652	2,591	$258,378
2024	676	2,682	$277,626

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	137	195	$2,146
2016	125	178	$2,082
2017	138	186	$1,648
2018	161	208	$2,153
2019	154	195	$1,461
2020	146	191	$7,900
2021	219	304	$1,396
2022	268	350	$1,750
2023	246	336	$1,574
2024	313	414	$1,305

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	16	17	$970
2016	22	22	$966
2017	22	22	$1,055
2018	35	35	$1,676
2019	32	32	$1,586
2020	41	41	$2,103
2021	26	26	$1,285
2022	71	71	$11,077
2023	44	44	$7,507
2024	46	46	$10,013

* / # = 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	182	182	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	366	$93
20550	Injection into tendon or ligament	83	113	$41
73140	X-ray of finger, minimum of 2 views	99	148	$29
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	162	310	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	262	564	$775
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	82	221	$202
Tramadol Hcl	Tramadol Hcl	17	57	$25

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	17	17	$5,775
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	N	11	11	$3,216
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	18	18	$1,022

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Stephen Hoover, M.D.?

Tedicare shows public-source Medicare data for Stephen Hoover, M.D. (NPI 1043431935), 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 Hoover, M.D. have ACO affiliation data?

Stephen Hoover, M.D. is shown with ACO affiliation data for Sentara Accountable Care Organization, LLC (MSSP, ACO ID A4868).

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

Stephen Hoover, M.D. is linked to MARTHA JEFFERSON MEDICAL GROUP LLC (billing NPI 1275720559) in the available physician profile data.

Does Stephen Hoover, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.