Physician

Peter A Caprise, MD

According to 2025 Medicare claims, Peter Caprise, MD (NPI: 1154356236) practices orthopedic surgery in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Lynchburg City, VA. This provider's primary affiliated billing organization is ORTHOVIRGINIA, INC. (NPI: 1265470645; TIN: 54-0885859) and primary practice location at 24501-2184.

Caprise's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,095 traditional Medicare patients, billed 7,747 HCPCS/CPT codes, and received $329,972 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 1,018 prescription claims across 457 beneficiaries totaling $13,752 in drug costs, led by Celecoxib (Celecoxib). DME data shows 48 claims. No Open Payments records. 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 have moved up and down with repeated peaks and valleys, starting at $13,550 and ending at $13,752. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $17,436 to $1,586.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,178	8,672	$396,326
2016	1,008	7,678	$369,848
2017	1,136	5,756	$387,722
2018	1,021	4,702	$327,647
2019	971	4,787	$329,161
2020	966	4,338	$347,643
2021	1,083	6,803	$368,819
2022	1,021	7,061	$330,983
2023	1,117	6,960	$375,037
2024	1,095	7,747	$329,972

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	347	639	$13,550
2016	267	503	$9,597
2017	271	467	$8,098
2018	324	595	$9,990
2019	357	573	$7,276
2020	365	704	$11,781
2021	458	1,033	$20,536
2022	403	782	$15,463
2023	444	983	$17,908
2024	457	1,018	$13,752

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	141	169	$12,288
2016	148	149	$11,096
2017	105	116	$6,848
2018	80	113	$5,736
2019	112	114	$8,378
2020	51	51	$3,623
2021	55	71	$4,707
2022	27	27	$2,407
2023	52	52	$4,349
2024	24	48	$1,424

* / # = 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	412	522	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	395	530	$63
20610	Aspiration and/or injection of fluid from large joint	345	420	$51
73564	X-ray of knee, 4 or more views	270	338	$32
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	346	4,140	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	272	8,142	$5,857
Eliquis	Apixaban	13	182	$3,554
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	168	1,109	$1,189
Tranexamic Acid	Tranexamic Acid	199	202	$979
Ondansetron Hcl	Ondansetron Hcl	117	816	$592

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	24	24	$975
K0001	Standard wheelchair	Y	N/R	24	$449

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Peter A. Caprise, MD?

Tedicare shows public-source Medicare data for Peter A. Caprise, MD (NPI 1154356236), 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 Peter A. Caprise, 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 Peter A. Caprise, MD?

Peter A. Caprise, MD is linked to ORTHOVIRGINIA, INC. (billing NPI 1265470645) in the available physician profile data.

Does Peter A. Caprise, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.