Physician

Andrew Carlone, MD

According to 2025 Medicare claims, Andrew Carlone, MD (NPI: 1083076459) practices orthopedic surgery in the Dalton, GA market, with the plurality of this provider's patient population coming from Whitfield, GA. This provider's primary affiliated billing organization is CHATTANOOGA ORTHOPAEDIC GROUP PC (NPI: 1548203821; TIN: 620988417) and primary practice location at 37311-3854.

Carlone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 463 traditional Medicare patients, billed 2,683 HCPCS/CPT codes, and received $224,647 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 538 prescription claims across 161 beneficiaries totaling $4,187 in drug costs, led by Celecoxib (Celecoxib). DME data shows 46 claims. Open Payments data shows 13 records totaling $587. 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 have moved sharply higher in recent years, from $866 to $4,187. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$112K$225K2022 Medicare payment: $36,442 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $156,974 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $224,647 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202273265$36,442
20233661,845$156,974
20244632,683$224,647

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$3.1K$6.2K2018 Drug cost: $866 (USD; Tot_Drug_Cst)2019 Drug cost: $5,890 (USD; Tot_Drug_Cst)2020 Drug cost: $1,253 (USD; Tot_Drug_Cst)2021 Drug cost: $1,197 (USD; Tot_Drug_Cst)2022 Drug cost: $1,765 (USD; Tot_Drug_Cst)2023 Drug cost: $6,198 (USD; Tot_Drug_Cst)2024 Drug cost: $4,187 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20184677$866
20192768$5,890
20203064$1,253
20213852$1,197
20222387$1,765
2023125370$6,198
2024161538$4,187

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.8K$14K2023 Medicare payment: $135 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $13,567 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$135
20244546$13,567

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more271418$60
20610Aspiration and/or injection of fluid from large joint149210$49
73564X-ray of knee, 4 or more views183237$30
73502X-ray of hip, 2-3 views175329$29
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg125369$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib611,618$1,445
Oxycodone HclOxycodone Hcl114722$575
GabapentinGabapentin751,880$555
CefadroxilCefadroxil81570$466
MethylprednisoloneMethylprednisolone35209$223

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0935Continuous passive motion exercise device for use on knee onlyY2930$12,935
E0143Walker, folding, wheeled, adjustable or fixed heightN1616$632

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$587ENCORE MEDICAL, LP
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Andrew Carlone, MD?

Tedicare shows public-source Medicare data for Andrew Carlone, MD (NPI 1083076459), 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 Andrew Carlone, MD have ACO affiliation data?

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

What billing organization is linked to Andrew Carlone, MD?

Andrew Carlone, MD is linked to CHATTANOOGA ORTHOPAEDIC GROUP PC (billing NPI 1548203821) in the available physician profile data.

Does Andrew Carlone, MD have Open Payments data?

Andrew Carlone, MD has 13 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.