Physician

Charles Edmond Porterfield, DO

According to 2025 Medicare claims, Charles Porterfield, DO (NPI: 1164486486) practices pulmonary disease in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is RALEIGH GENERAL HOSPITAL LLC (NPI: 1114475746; TIN: 550261260) and primary practice location at 25801-3357. Porterfield is affiliated with the ACO West Virginia (ACO ID: A3563) and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Porterfield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 526 traditional Medicare patients, billed 1,672 HCPCS/CPT codes, and received $96,446 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 2,011 prescription claims across 389 beneficiaries totaling $1,731,274 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 1,886 claims. Open Payments data shows 55 records totaling $1,115. 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 fallen sharply in recent years, from $329,649 to $96,446. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $663,042 to $1,731,274. For DME billing, reported payments rose steadily, from $289,366 to $320,381.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,281	5,111	$329,649
2016	1,185	4,202	$268,944
2017	1,109	4,597	$277,439
2018	1,079	4,371	$277,608
2019	1,067	4,122	$265,334
2020	826	3,265	$213,575
2021	819	3,562	$222,856
2022	727	2,963	$179,843
2023	553	1,694	$103,046
2024	526	1,672	$96,446

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	451	4,987	$663,042
2016	479	5,155	$879,815
2017	463	4,600	$983,990
2018	453	4,489	$1,172,330
2019	438	3,524	$1,167,793
2020	399	3,401	$2,062,095
2021	326	2,500	$2,123,728
2022	261	1,912	$1,549,958
2023	325	1,744	$1,637,515
2024	389	2,011	$1,731,274

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,048	3,319	$298,900
2016	1,009	3,255	$198,406
2017	951	3,348	$172,047
2018	906	3,367	$218,471
2019	943	3,368	$277,220
2020	835	2,969	$316,715
2021	675	2,436	$290,035
2022	809	2,509	$304,076
2023	670	2,429	$367,332
2024	531	1,886	$320,368

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	134	$95
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	525	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	192	253	$60
94727	Test to determine lung volumes using gas dilution or washout	91	91	$29
94060	Test to measure expiratory airflow and volume changes before and after medication administration	119	119	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ofev	Nintedanib Esylate	74	2,220	$965,985
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	349	12,930	$270,372
Xolair	Omalizumab	55	924	$102,050
Dupixent Pen	Dupilumab	21	599	$87,217
Dupixent Syringe	Dupilumab	12	336	$46,022

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	28	254	$251,666
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	53	398	$30,885
A7030	Full face mask used with positive airway pressure device, each	N	52	100	$8,352
E0601	Continuous positive airway pressure (cpap) device	Y	25	126	$4,273
A7031	Face mask interface, replacement for full face mask, each	N	40	83	$4,108

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	55	$1,115	AstraZeneca Pharmaceuticals LP
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 Charles Edmond Porterfield, DO?

Tedicare shows public-source Medicare data for Charles Edmond Porterfield, DO (NPI 1164486486), 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 Charles Edmond Porterfield, DO have ACO affiliation data?

Charles Edmond Porterfield, DO is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Charles Edmond Porterfield, DO?

Charles Edmond Porterfield, DO is linked to RALEIGH GENERAL HOSPITAL LLC (billing NPI 1114475746) in the available physician profile data.

Does Charles Edmond Porterfield, DO have Open Payments data?

Charles Edmond Porterfield, DO has 55 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.