Physician

Alvin K Antony, MD

According to 2025 Medicare claims, Alvin Antony, MD (NPI: 1124036694) practices interventional pain management (ipm), with the plurality of this provider's patient population coming from Wilson, NC. This provider's primary affiliated billing organization is CAROLINA SPORTS AND SPINE (NPI: 1881927648; TIN: 264440964) and primary practice location at 27893-4464.

Antony's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 91 traditional Medicare patients, billed 1,021 HCPCS/CPT codes, and received $69,113 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 234 prescription claims across 119 beneficiaries totaling $8,359 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2016 DME data shows 16 claims. Open Payments data shows 13 records totaling $132. 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 fallen sharply in recent years, from $394,943 to $69,113. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $136,012 to $8,359. 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$204K$409K2015 Medicare payment: $394,943 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $344,822 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $408,616 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $335,265 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $274,817 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $236,416 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $230,151 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $146,810 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $109,895 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $69,113 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201553012,580$394,943
20164777,513$344,822
20175188,262$408,616
20184116,105$335,265
20193725,503$274,817
20202995,048$236,416
20212423,835$230,151
20221712,165$146,810
20231241,690$109,895
2024911,021$69,113

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$68K$136K2015 Drug cost: $136,012 (USD; Tot_Drug_Cst)2016 Drug cost: $63,717 (USD; Tot_Drug_Cst)2017 Drug cost: $86,881 (USD; Tot_Drug_Cst)2018 Drug cost: $83,174 (USD; Tot_Drug_Cst)2019 Drug cost: $82,744 (USD; Tot_Drug_Cst)2020 Drug cost: $52,692 (USD; Tot_Drug_Cst)2021 Drug cost: $20,041 (USD; Tot_Drug_Cst)2022 Drug cost: $15,445 (USD; Tot_Drug_Cst)2023 Drug cost: $22,525 (USD; Tot_Drug_Cst)2024 Drug cost: $8,359 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153352,205$136,012
20162621,134$63,717
20173321,446$86,881
20183051,703$83,174
20193222,097$82,744
20203111,296$52,692
2021233588$20,041
2022186478$15,445
2023196569$22,525
2024119234$8,359

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$7.9K$16K2015 Medicare payment: $11,298 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $15,796 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151111$11,298
20161616$15,796
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/RN/RN/R
2024N/RN/RN/R

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1616$111
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more84651$83
80307Testing for presence of drug, by chemistry analyzers6580$60
J1100Injection, dexamethasone sodium phosphate, 1 mg19211$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen702,038$2,515
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen451,179$1,470
GabapentinGabapentin24780$376
Tramadol HclTramadol Hcl17404$184

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$132Abbott Laboratories
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 Alvin K. Antony, MD?

Tedicare shows public-source Medicare data for Alvin K. Antony, MD (NPI 1124036694), 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 Alvin K. Antony, 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 Alvin K. Antony, MD?

Alvin K. Antony, MD is linked to CAROLINA SPORTS AND SPINE (billing NPI 1881927648) in the available physician profile data.

Does Alvin K. Antony, MD have Open Payments data?

Alvin K. Antony, 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.