Physician

Carla Francesca Justiniano, M.D.

According to 2025 Medicare claims, Carla Justiniano, M.D. (NPI: 1073930517) practices colorectal surgery (formerly proctology) in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (NPI: 1801840434; TIN: 311405915) and primary practice location at 45219-2316.

Justiniano's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 81 traditional Medicare patients, billed 174 HCPCS/CPT codes, and received $21,705 in Medicare payments. The top billing code was 46600 (Diagnostic exam of anus using an endoscope). Part D data shows 45 prescription claims across 29 beneficiaries totaling $1,053 in drug costs. Open Payments data shows 1 records totaling $112. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,393 to $1,053. 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	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	15	28	$5,105
2023	54	123	$19,942
2024	81	174	$21,705

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	28	47	$1,393
2016	N/R	19	$2,294
2017	N/R	11	$110
2018	35	43	$1,308
2019	29	36	$158
2020	22	32	$688
2021	N/R	N/R	N/R
2022	23	35	$506
2023	16	17	$402
2024	29	45	$1,053

DME Billing Trend

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

No connected DME records

* / # = 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
46600	Diagnostic exam of anus using an endoscope	26	27	$45

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$112	Medtronic, 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

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FAQ

What Medicare data is available for Carla Francesca Justiniano, M.D.?

Tedicare shows public-source Medicare data for Carla Francesca Justiniano, M.D. (NPI 1073930517), 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 Carla Francesca Justiniano, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carla Francesca Justiniano, M.D.?

Carla Francesca Justiniano, M.D. is linked to UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (billing NPI 1801840434) in the available physician profile data.

Does Carla Francesca Justiniano, M.D. have Open Payments data?

Carla Francesca Justiniano, M.D. has 1 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.