Physician

Justin P Favaro, MD

According to 2025 Medicare claims, Justin Favaro, MD (NPI: 1053365320) practices hematology/oncology in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is CAROLINA ONCOLOGY SPECIALIST PA (NPI: 1467406736; TIN: 56-2179043) and primary practice location at 28207-2027. Favaro is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Favaro's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 905 traditional Medicare patients, billed 226,543 HCPCS/CPT codes, and received $4,835,522 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,648 prescription claims across 316 beneficiaries totaling $5,799,909 in drug costs, led by Lenalidomide (Lenalidomide). DME data shows 87 claims. Open Payments data shows 200 records totaling $89,391. 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 from a lower plateau to a higher plateau, from $1,492,584 to $4,835,522. Similarly, Part D prescription costs have risen steadily, from $1,400,157 to $5,799,909. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $23,393 to $2,278.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	630	108,089	$1,492,584
2016	681	118,005	$2,036,971
2017	542	109,861	$1,878,649
2018	524	165,662	$3,356,537
2019	571	267,067	$3,977,391
2020	630	280,058	$4,667,161
2021	653	229,971	$4,029,192
2022	686	206,132	$3,878,213
2023	711	177,673	$3,500,159
2024	905	226,543	$4,835,522

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	274	2,776	$1,400,157
2016	295	2,743	$2,109,489
2017	282	2,509	$2,396,134
2018	252	2,353	$2,466,064
2019	285	2,066	$3,456,395
2020	247	1,321	$2,960,059
2021	231	994	$2,404,797
2022	253	1,282	$3,726,257
2023	263	1,466	$3,999,557
2024	316	1,648	$5,799,909

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	340	$78,366
2016	N/R	74	$8,341
2017	N/R	61	$6,695
2018	N/R	17	$1,053
2019	N/R	N/R	N/R
2020	N/R	22	$1,524
2021	N/R	85	$22,869
2022	N/R	94	$27,013
2023	N/R	51	$16,399
2024	N/R	87	$52,713

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	1,607	$97
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	225	1,987	$50
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	254	351	$13
36415	Insertion of needle into vein for collection of blood sample	576	2,680	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	572	3,024	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lenalidomide	Lenalidomide	57	1,526	$736,079
Brukinsa	Zanubrutinib	41	1,230	$536,145
Pomalyst	Pomalidomide	21	588	$497,879
Jakafi	Ruxolitinib Phosphate	27	810	$458,767
Tibsovo	Ivosidenib	12	390	$398,643

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	17	$50,722
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	N	N/R	17	$901
J8521	Capecitabine, oral, 500 mg	N	N/R	19	$746
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	18	$226
K0552	Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each	N	N/R	16	$118

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	130	$8,084	E.R. Squibb & Sons, L.L.C.
Research Payments	Reported research-related payment or transfer-of-value amount.	70	$81,307	Incyte Corporation
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 Justin P. Favaro, MD?

Tedicare shows public-source Medicare data for Justin P. Favaro, MD (NPI 1053365320), 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 Justin P. Favaro, MD have ACO affiliation data?

Justin P. Favaro, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Justin P. Favaro, MD?

Justin P. Favaro, MD is linked to CAROLINA ONCOLOGY SPECIALIST PA (billing NPI 1467406736) in the available physician profile data.

Does Justin P. Favaro, MD have Open Payments data?

Justin P. Favaro, MD has 200 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.