Physician

Paul Dolphous Lane, M.D.

According to 2025 Medicare claims, Paul Lane, M.D. (NPI: 1124280862) practices orthopedic surgery in the Valdosta, GA market, with the plurality of this provider's patient population coming from Lowndes, GA. This provider's primary affiliated billing organization is VALDOSTA ORTHOPEDIC ASSOCIATES PC (NPI: 1053457457; TIN: 581234117) and primary practice location at 31602-6418. Lane is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Lane's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 438 traditional Medicare patients, billed 17,215 HCPCS/CPT codes, and received $229,680 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,179 prescription claims across 363 beneficiaries totaling $11,155 in drug costs, led by Gabapentin (Gabapentin). DME data shows 17 claims. Open Payments data shows 30 records totaling $4,695. 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 up and down with repeated peaks and valleys, starting at $130,170 and ending at $229,680. Concurrently, Part D prescription costs have declined steadily, from $15,693 to $11,155. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $21,330 and ending at $29,215.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	375	1,952	$130,170
2016	455	2,851	$196,812
2017	535	3,700	$229,977
2018	452	4,115	$197,007
2019	456	5,029	$273,348
2020	454	4,757	$220,087
2021	473	5,596	$290,270
2022	457	4,983	$183,264
2023	432	4,566	$165,839
2024	438	17,215	$229,680

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	199	568	$15,693
2016	268	972	$19,844
2017	307	1,118	$46,593
2018	245	861	$29,967
2019	253	937	$14,498
2020	238	790	$8,938
2021	315	1,007	$11,417
2022	282	779	$10,459
2023	311	915	$9,339
2024	363	1,179	$11,155

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	15	15	$4,504
2017	30	30	$9,325
2018	19	42	$6,980
2019	14	25	$4,944
2020	13	24	$4,650
2021	45	45	$19,616
2022	14	14	$3,870
2023	20	20	$5,433
2024	17	17	$4,263

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	629	$88
20552	Injection of trigger points, 1-2 muscles	147	193	$36
72100	X-ray of lower and sacral spine, 2-3 views	216	274	$26
96372	Injection of drug or substance under skin or into muscle	132	169	$10
J1010	Injection, methylprednisolone acetate, 1 mg	131	13,002	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	402	12,485	$3,898
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	122	2,243	$1,627
Pregabalin	Pregabalin	65	1,969	$892
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	63	935	$887
Celecoxib	Celecoxib	61	2,160	$845

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
L0642	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	17	17	$4,263

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	30	$4,695	Cgg Medical 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 Paul Dolphous Lane, M.D.?

Tedicare shows public-source Medicare data for Paul Dolphous Lane, M.D. (NPI 1124280862), 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 Paul Dolphous Lane, M.D. have ACO affiliation data?

Paul Dolphous Lane, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Paul Dolphous Lane, M.D.?

Paul Dolphous Lane, M.D. is linked to VALDOSTA ORTHOPEDIC ASSOCIATES PC (billing NPI 1053457457) in the available physician profile data.

Does Paul Dolphous Lane, M.D. have Open Payments data?

Paul Dolphous Lane, M.D. has 30 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.