Physician

Seth M. Hale, MD

According to 2025 Medicare claims, Seth Hale, MD (NPI: 1144666025) practices cardiology in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is CHRISTUS TRINITY CLINIC (NPI: 1285684225; TIN: 752616977) and primary practice location at 75503-2379. Hale is affiliated with the CHRISTUS Health Quality Care Alliance (ACO ID: A3029), participating under the MSSP model.

Hale's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,263 traditional Medicare patients, billed 4,062 HCPCS/CPT codes, and received $207,142 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 3,625 prescription claims across 573 beneficiaries totaling $352,064 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 47 records totaling $640. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $47,022 to $352,064. 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$142K$284K2020 Medicare payment: $91,469 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $253,380 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $283,677 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $252,923 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $207,142 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20206721,686$91,469
20211,5994,214$253,380
20221,5384,548$283,677
20231,2334,051$252,923
20241,2634,062$207,142

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$176K$352K2015 Drug cost: $47,022 (USD; Tot_Drug_Cst)2016 Drug cost: $35,330 (USD; Tot_Drug_Cst)2017 Drug cost: $393 (USD; Tot_Drug_Cst)2020 Drug cost: $16,159 (USD; Tot_Drug_Cst)2021 Drug cost: $93,666 (USD; Tot_Drug_Cst)2022 Drug cost: $194,276 (USD; Tot_Drug_Cst)2023 Drug cost: $253,069 (USD; Tot_Drug_Cst)2024 Drug cost: $352,064 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201558558$47,022
201652402$35,330
20171434$393
2018N/RN/RN/R
2019N/RN/RN/R
202072256$16,159
20212441,836$93,666
20223512,866$194,276
20234423,266$253,069
20245733,625$352,064

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more379480$72
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function476530$55
93356Heart muscle strain imaging371377$11
763763d radiographic procedure180181$7
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only485582$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1648,890$168,450
JardianceEmpagliflozin603,600$69,979
XareltoRivaroxaban472,070$37,479
EntrestoSacubitril/Valsartan13885$19,823
SymbicortBudesonide/Formoterol Fumarate11603$4,545

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.47$640Biosense Webster, 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 Seth M. Hale, MD?

Tedicare shows public-source Medicare data for Seth M. Hale, MD (NPI 1144666025), 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 Seth M. Hale, MD have ACO affiliation data?

Seth M. Hale, MD is shown with ACO affiliation data for CHRISTUS Health Quality Care Alliance (MSSP, ACO ID A3029).

What billing organization is linked to Seth M. Hale, MD?

Seth M. Hale, MD is linked to CHRISTUS TRINITY CLINIC (billing NPI 1285684225) in the available physician profile data.

Does Seth M. Hale, MD have Open Payments data?

Seth M. Hale, MD has 47 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.