Physician

Michael Andrew Grant, MD

According to 2025 Medicare claims, Michael Grant, MD (NPI: 1154851467) practices rheumatology in the St. George, UT market, with the plurality of this provider's patient population coming from Washington, UT. This provider's primary affiliated billing organization is SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC (NPI: 1144509985; TIN: 27-3995478) and primary practice location at 84790-7077. Grant is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Grant's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 550 traditional Medicare patients, billed 328,976 HCPCS/CPT codes, and received $1,860,665 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 2,239 prescription claims across 507 beneficiaries totaling $2,395,107 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 159 records totaling $3,191. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $908 to $2,395,107. 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$1.1M$2.1M2022 Medicare payment: $436,818 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,129,176 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,860,665 (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
2020N/RN/RN/R
2021N/RN/RN/R
202218173,526$436,818
2023456377,778$2,129,176
2024550328,976$1,860,665

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$1.2M$2.4M2017 Drug cost: $908 (USD; Tot_Drug_Cst)2018 Drug cost: $10,090 (USD; Tot_Drug_Cst)2019 Drug cost: $7,253 (USD; Tot_Drug_Cst)2020 Drug cost: $5,345 (USD; Tot_Drug_Cst)2021 Drug cost: $7,078 (USD; Tot_Drug_Cst)2022 Drug cost: $168,658 (USD; Tot_Drug_Cst)2023 Drug cost: $1,782,571 (USD; Tot_Drug_Cst)2024 Drug cost: $2,395,107 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R21$908
201836154$10,090
201928156$7,253
20201563$5,345
202135125$7,078
2022110266$168,658
20233471,620$1,782,571
20245072,239$2,395,107

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more154154$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more391881$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more175233$62
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's344637$12
36415Insertion of needle into vein for collection of blood sample133227$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab762,296$662,844
Enbrel SureclickEtanercept431,540$418,837
RinvoqUpadacitinib461,380$310,652
Humira(Cf)Adalimumab22616$153,443
KevzaraSarilumab17700$110,128

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.159$3,191Amgen 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 Michael Andrew Grant, MD?

Tedicare shows public-source Medicare data for Michael Andrew Grant, MD (NPI 1154851467), 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 Michael Andrew Grant, MD have ACO affiliation data?

Michael Andrew Grant, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Michael Andrew Grant, MD?

Michael Andrew Grant, MD is linked to SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC (billing NPI 1144509985) in the available physician profile data.

Does Michael Andrew Grant, MD have Open Payments data?

Michael Andrew Grant, MD has 159 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.