Physician

Robert Shane Riley, D.O.

According to 2025 Medicare claims, Robert Riley, D.O. (NPI: 1063727576) practices orthopedic surgery in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42103-7940. Riley is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Riley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 464 traditional Medicare patients, billed 7,958 HCPCS/CPT codes, and received $223,281 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 1,069 prescription claims across 422 beneficiaries totaling $9,470 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). DME data shows 31 claims. Open Payments data shows 11 records totaling $687. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,880 and ending at $9,470. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $7,408 and ending at $4,799.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	211	976	$75,254
2016	511	2,544	$196,028
2017	566	3,431	$254,043
2018	633	3,951	$295,141
2019	636	4,173	$314,539
2020	570	3,469	$289,876
2021	536	5,523	$295,779
2022	585	6,721	$300,767
2023	582	8,451	$287,069
2024	464	7,958	$223,281

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	129	226	$2,880
2016	304	741	$15,372
2017	326	864	$12,508
2018	324	883	$25,470
2019	362	822	$9,757
2020	320	643	$7,755
2021	344	746	$7,886
2022	431	972	$12,210
2023	444	1,087	$12,037
2024	422	1,069	$9,470

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	12	66	$3,563
2017	38	53	$4,217
2018	39	39	$4,457
2019	58	85	$6,146
2020	33	34	$2,301
2021	55	91	$3,626
2022	58	69	$5,525
2023	44	76	$3,971
2024	31	31	$1,539

* / # = 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	134	167	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	265	417	$62
20610	Aspiration and/or injection of fluid from large joint	152	276	$46
96372	Injection of drug or substance under skin or into muscle	80	96	$10
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	238	3,416	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	208	2,009	$2,304
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	136	1,031	$1,237
Ondansetron Hcl	Ondansetron Hcl	106	1,081	$862
Celecoxib	Celecoxib	23	690	$581
Diclofenac Sodium	Diclofenac Sodium	43	1,380	$545

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	15	15	$780
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	16	16	$759

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$687	Stryker Corporation
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 Robert Shane Riley, D.O.?

Tedicare shows public-source Medicare data for Robert Shane Riley, D.O. (NPI 1063727576), 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 Robert Shane Riley, D.O. have ACO affiliation data?

Robert Shane Riley, D.O. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Robert Shane Riley, D.O.?

Robert Shane Riley, D.O. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Robert Shane Riley, D.O. have Open Payments data?

Robert Shane Riley, D.O. has 11 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.