Physician

Patrick J. Fernicola, M.D.

According to 2025 Medicare claims, Patrick Fernicola, M.D. (NPI: 1134161995) practices orthopedic surgery in the Columbus, GA-AL market, with the plurality of this provider's patient population coming from Muscogee, GA. This provider's primary affiliated billing organization is HUGHSTON CLINIC, P.C. (NPI: 1164461190; TIN: 581155460) and primary practice location at 36867-7483.

Fernicola's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 673 traditional Medicare patients, billed 18,265 HCPCS/CPT codes, and received $254,894 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 1,162 prescription claims across 413 beneficiaries totaling $8,073 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 84 claims. Open Payments data shows 9 records totaling $544. 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $36,761 to $8,073. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $30,991 and ending at $20,872.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	821	6,758	$320,436
2016	848	4,800	$363,209
2017	891	5,160	$341,591
2018	869	5,901	$351,649
2019	953	8,902	$409,048
2020	751	5,200	$346,474
2021	691	4,690	$310,440
2022	669	5,220	$330,614
2023	636	3,699	$277,819
2024	673	18,265	$254,894

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	267	737	$36,761
2016	305	886	$40,101
2017	302	850	$36,609
2018	305	689	$17,687
2019	324	705	$12,896
2020	321	687	$6,685
2021	334	783	$22,472
2022	358	892	$16,894
2023	412	1,207	$12,920
2024	413	1,162	$8,073

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	133	215	$28,578
2016	160	168	$30,209
2017	140	157	$27,436
2018	41	66	$4,215
2019	36	73	$4,758
2020	46	93	$10,079
2021	52	53	$14,640
2022	61	61	$16,301
2023	75	92	$26,852
2024	60	84	$21,129

* / # = 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	200	231	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	395	538	$59
20610	Aspiration and/or injection of fluid from large joint	359	467	$48
73030	X-ray of shoulder, minimum of 2 views	270	355	$22
J1010	Injection, methylprednisolone acetate, 1 mg	233	13,736	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	315	1,608	$1,762
Methylprednisolone	Methylprednisolone	120	827	$631
Mupirocin	Mupirocin	97	1,501	$622
Cefadroxil	Cefadroxil	95	672	$540
Meloxicam	Meloxicam	149	4,721	$392

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
E0935	Continuous passive motion exercise device for use on knee only	Y	42	44	$17,584
E1810	Dynamic adjustable knee extension / flexion device, includes soft interface material	Y	N/R	22	$2,266
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	N	18	18	$1,279

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$544	Stryker Corporation
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

Explore More Providers

FAQ

What Medicare data is available for Patrick J. Fernicola, M.D.?

Tedicare shows public-source Medicare data for Patrick J. Fernicola, M.D. (NPI 1134161995), 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 Patrick J. Fernicola, 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 Patrick J. Fernicola, M.D.?

Patrick J. Fernicola, M.D. is linked to HUGHSTON CLINIC, P.C. (billing NPI 1164461190) in the available physician profile data.

Does Patrick J. Fernicola, M.D. have Open Payments data?

Patrick J. Fernicola, M.D. has 9 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.