Physician

Carlo Medina, M.D.

According to 2025 Medicare claims, Carlo Medina, M.D. (NPI: 1093786444) practices hospitalist in the Los Angeles-Long Beach-Glendale, CA market, with the plurality of this provider's patient population coming from Los Angeles, CA. This provider's primary affiliated billing organization is CARLO MEDINA MEDICAL CORPORATION (NPI: 1477273340; TIN: 824485610) and primary practice location at 90292-9998.

Medina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 239 traditional Medicare patients, billed 1,458 HCPCS/CPT codes, and received $116,686 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 1,572 prescription claims across 154 beneficiaries totaling $89,658 in drug costs, led by Ozempic (Semaglutide). DME data shows 12 claims. Open Payments data shows 17 records totaling $308. 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 lower plateau to a higher plateau, from $47,324 to $116,686. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $15,348 and ending at $89,658. In contrast, DME billing represents a smaller volume and rose steadily, from $1,389 to $12,267.

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$92K$185K2015 Medicare payment: $47,324 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $57,517 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $51,171 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $30,101 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $147,613 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $181,706 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $149,954 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $184,501 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $165,689 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $116,686 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015289662$47,324
2016281717$57,517
2017294656$51,171
2018187342$30,101
20192621,537$147,613
20203211,868$181,706
20212661,675$149,954
20224031,973$184,501
20234011,674$165,689
20242391,458$116,686

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$45K$90K2015 Drug cost: $15,348 (USD; Tot_Drug_Cst)2016 Drug cost: $8,447 (USD; Tot_Drug_Cst)2017 Drug cost: $21,755 (USD; Tot_Drug_Cst)2018 Drug cost: $12,802 (USD; Tot_Drug_Cst)2019 Drug cost: $25,283 (USD; Tot_Drug_Cst)2020 Drug cost: $20,825 (USD; Tot_Drug_Cst)2021 Drug cost: $19,535 (USD; Tot_Drug_Cst)2022 Drug cost: $24,630 (USD; Tot_Drug_Cst)2023 Drug cost: $17,186 (USD; Tot_Drug_Cst)2024 Drug cost: $89,658 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201567168$15,348
20165189$8,447
201752102$21,755
201877180$12,802
2019124345$25,283
202095271$20,825
202156149$19,535
202293226$24,630
202375192$17,186
20241541,572$89,658

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$5.1K$10K2015 Medicare payment: $967 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $734 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $580 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,715 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $204 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,241 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,222 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,227 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R14$967
2016N/R22$734
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R13$580
2020N/R83$2,715
2021N/R14$204
2022N/R30$1,241
2023N/R36$10,222
2024N/R12$10,227

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5764$140
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes88317$97
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more92426$74
99497Advance care planning, first 30 minutes5764$62
36415Insertion of needle into vein for collection of blood sample6796$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide18676$22,047
EliquisApixaban38865$11,949
Pantoprazole SodiumPantoprazole Sodium321,012$555
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen35411$524
Albuterol Sulfate HfaAlbuterol Sulfate19570$514

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R12$10,227

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.17$308ABBVIE INC.
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 Carlo Medina, M.D.?

Tedicare shows public-source Medicare data for Carlo Medina, M.D. (NPI 1093786444), 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 Carlo Medina, 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 Carlo Medina, M.D.?

Carlo Medina, M.D. is linked to CARLO MEDINA MEDICAL CORPORATION (billing NPI 1477273340) in the available physician profile data.

Does Carlo Medina, M.D. have Open Payments data?

Carlo Medina, M.D. has 17 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.