Physician

Carey J Welsh, MD

According to 2025 Medicare claims, Carey Welsh, MD (NPI: 1063413912) practices family practice in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is GREAT FALLS CLINIC LLC (NPI: 1801897780; TIN: 841396628) and primary practice location at 59404-1921. Welsh is affiliated with the PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Welsh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 407 traditional Medicare patients, billed 2,568 HCPCS/CPT codes, and received $147,876 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 8,931 prescription claims across 529 beneficiaries totaling $729,849 in drug costs, led by Eliquis (Apixaban). DME data shows 274 claims. Open Payments data shows 72 records totaling $1,256. 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 $103,742 to $147,876. Similarly, Part D prescription costs have moved sharply higher in recent years, from $289,656 to $729,849. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $16,905 and ending at $13,635.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	520	2,446	$103,742
2016	508	2,074	$99,830
2017	450	1,870	$93,968
2018	474	1,486	$103,748
2019	426	1,625	$98,930
2020	453	1,337	$93,561
2021	422	1,593	$122,563
2022	442	1,597	$122,334
2023	413	1,913	$125,546
2024	407	2,568	$147,876

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	373	5,323	$289,656
2016	391	5,407	$311,163
2017	396	5,457	$301,879
2018	405	5,389	$293,222
2019	391	5,318	$293,055
2020	439	5,952	$333,439
2021	445	6,686	$410,036
2022	464	7,429	$513,947
2023	492	7,944	$643,470
2024	529	8,931	$729,849

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	39	278	$13,605
2016	33	323	$8,692
2017	16	186	$5,034
2018	30	203	$3,935
2019	16	221	$5,273
2020	21	170	$4,942
2021	24	187	$6,735
2022	33	326	$12,545
2023	58	295	$15,198
2024	43	274	$8,743

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$129
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	326	429	$114
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	502	$81
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	321	619	$11
96160	Administration and interpretation of patient-focused health risk assessment	134	252	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	114	6,781	$124,174
Ozempic	Semaglutide	86	2,947	$95,850
Jardiance	Empagliflozin	48	3,214	$62,563
Mounjaro	Tirzepatide	55	1,738	$59,893
Xarelto	Rivaroxaban	49	3,276	$59,233

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	27	$2,058
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	35	$1,163
A7031	Face mask interface, replacement for full face mask, each	N	N/R	20	$1,017
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	12	27	$993
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$837

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	72	$1,256	Novo Nordisk 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 Carey J. Welsh, MD?

Tedicare shows public-source Medicare data for Carey J. Welsh, MD (NPI 1063413912), 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 Carey J. Welsh, MD have ACO affiliation data?

Carey J. Welsh, MD is shown with ACO affiliation data for PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533).

What billing organization is linked to Carey J. Welsh, MD?

Carey J. Welsh, MD is linked to GREAT FALLS CLINIC LLC (billing NPI 1801897780) in the available physician profile data.

Does Carey J. Welsh, MD have Open Payments data?

Carey J. Welsh, MD has 72 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.