Physician

William George Grubb, MD

According to 2025 Medicare claims, William Grubb, MD (NPI: 1093721532) practices nephrology in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC (NPI: 1356879902; TIN: 58-1052081) and primary practice location at 31520-4787. Grubb is affiliated with the Mission Health Partners, LLC (ACO ID: A2591) and Pearl Primary Care Network, LLC (ACO ID: D0242), participating under both the MSSP and REACH models.

Grubb's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 500 traditional Medicare patients, billed 2,033 HCPCS/CPT codes, and received $175,449 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 11,267 prescription claims across 541 beneficiaries totaling $2,138,624 in drug costs, led by Krystexxa (Pegloticase). DME data shows 543 claims. Open Payments data shows 67 records totaling $1,377. 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 higher plateau to a lower plateau, from $596,665 to $175,449. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,549,750 and ending at $2,138,624. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $53,382 to $12,007.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,034	13,156	$596,665
2016	1,054	15,023	$846,340
2017	1,036	14,657	$852,658
2018	912	6,303	$537,992
2019	867	4,303	$400,610
2020	724	2,777	$253,622
2021	631	2,433	$237,954
2022	599	2,360	$217,591
2023	536	1,968	$180,356
2024	500	2,033	$175,449

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	821	19,141	$1,549,750
2016	860	22,342	$2,380,267
2017	824	22,633	$3,020,100
2018	797	20,355	$2,150,964
2019	758	16,994	$1,791,108
2020	696	15,149	$1,594,945
2021	639	13,829	$1,562,940
2022	617	12,862	$1,490,780
2023	570	11,387	$1,569,656
2024	541	11,267	$2,138,624

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	228	1,268	$68,920
2016	248	1,298	$44,524
2017	261	1,289	$41,852
2018	239	1,170	$37,877
2019	180	1,396	$153,939
2020	92	1,133	$168,184
2021	104	858	$36,648
2022	54	646	$27,216
2023	23	521	$21,228
2024	22	543	$51,430

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	61	$139
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	157	$135
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	571	$87
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	340	$64
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	255	368	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Krystexxa	Pegloticase	12	336	$710,711
Farxiga	Dapagliflozin Propanediol	328	18,377	$267,780
Ozempic	Semaglutide	164	5,288	$169,784
Jardiance	Empagliflozin	188	10,487	$167,353
Eliquis	Apixaban	143	6,346	$121,365

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
B4197	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix	N	N/R	12	$26,403
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	19	$7,469
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	N	N/R	12	$5,301
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	93	$3,118
B4224	Parenteral nutrition administration kit, per day	N	N/R	12	$2,360

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	67	$1,377	Otsuka America Pharmaceutical, 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 William George Grubb, MD?

Tedicare shows public-source Medicare data for William George Grubb, MD (NPI 1093721532), 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 William George Grubb, MD have ACO affiliation data?

William George Grubb, MD is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591) and Pearl Primary Care Network, LLC (REACH, ACO ID D0242).

What billing organization is linked to William George Grubb, MD?

William George Grubb, MD is linked to NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC (billing NPI 1356879902) in the available physician profile data.

Does William George Grubb, MD have Open Payments data?

William George Grubb, MD has 67 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.