Physician

Steven Schaeffer Spires, M.D.

According to 2025 Medicare claims, Steven Spires, M.D. (NPI: 1043453632) practices infectious disease in the Athens-Clarke County, GA market, with the plurality of this provider's patient population coming from Clarke, GA. This provider's primary affiliated billing organization is INFECTIOUS DISEASE CONSULTANTS, PC (NPI: 1225087745; TIN: 593541589) and primary practice location at 30024-6098. Spires is affiliated with the Ascension Care Management (ACO ID: A1061), Billings Clinic (ACO ID: A1652), and Piedmont Clinic ACO LLC (ACO ID: A3250), participating under the MSSP model.

Spires' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 512 traditional Medicare patients, billed 4,883 HCPCS/CPT codes, and received $204,928 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 888 prescription claims across 228 beneficiaries totaling $665,292 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). DME data shows 44 claims. Open Payments data shows 51 records totaling $1,105. 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 up and down with repeated peaks and valleys, starting at $33,380 and ending at $204,928. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $135,167 and ending at $665,292. 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	180	466	$33,380
2016	193	553	$37,875
2017	243	697	$49,985
2018	274	750	$60,317
2019	195	458	$36,195
2020	83	177	$15,000
2021	74	170	$13,840
2022	84	177	$13,460
2023	141	971	$39,746
2024	512	4,883	$204,928

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	85	317	$135,167
2016	85	415	$207,671
2017	117	462	$63,026
2018	92	333	$87,076
2019	61	169	$19,910
2020	13	51	$22,996
2021	35	154	$12,092
2022	33	185	$22,570
2023	74	204	$86,939
2024	228	888	$665,292

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	44	$46,480

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	198	$129
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	102	$98
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	178	$97
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	365	$89
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	260	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	38	1,140	$159,829
Triumeq	Abacavir/Dolutegravir/Lamivudi	15	450	$59,389
Dovato	Dolutegravir Sodium/Lamivudine	12	360	$39,387
Daptomycin	Daptomycin	54	373	$24,398
Ertapenem	Ertapenem Sodium	11	72	$5,684

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
J1559	Injection, immune globulin (hizentra), 100 mg	N	N/R	14	$45,783
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	N	N/R	15	$615
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	N	N/R	15	$82

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$1,105	Melinta Therapeutics, LLC
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 Steven Schaeffer Spires, M.D.?

Tedicare shows public-source Medicare data for Steven Schaeffer Spires, M.D. (NPI 1043453632), 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 Steven Schaeffer Spires, M.D. have ACO affiliation data?

Steven Schaeffer Spires, M.D. is shown with ACO affiliation data for Ascension Care Management (MSSP, ACO ID A1061), Billings Clinic (MSSP, ACO ID A1652), and Piedmont Clinic ACO LLC (MSSP, ACO ID A3250).

What billing organization is linked to Steven Schaeffer Spires, M.D.?

Steven Schaeffer Spires, M.D. is linked to INFECTIOUS DISEASE CONSULTANTS, PC (billing NPI 1225087745) in the available physician profile data.

Does Steven Schaeffer Spires, M.D. have Open Payments data?

Steven Schaeffer Spires, M.D. has 51 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.