Physician

Amanda S Carlson, M.D

According to 2025 Medicare claims, Amanda Carlson, M.D (NPI: 1164628574) practices infectious disease in the Madison, WI market, with the plurality of this provider's patient population coming from Dane, WI. This provider's primary affiliated billing organization is DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53715-1909. Carlson is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Carlson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 440 traditional Medicare patients, billed 64,747 HCPCS/CPT codes, and received $758,114 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 681 prescription claims across 126 beneficiaries totaling $861,913 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). 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 moved up and down with repeated peaks and valleys, starting at $530,858 and ending at $758,114. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,345,791 and ending at $861,913. 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.

Year	Patients	Clm Lines	Payment
2015	520	53,958	$530,858
2016	499	66,960	$529,384
2017	352	35,594	$439,209
2018	452	62,099	$662,190
2019	401	64,230	$394,501
2020	335	44,994	$367,526
2021	489	61,882	$710,182
2022	366	31,777	$563,992
2023	406	47,897	$669,019
2024	440	64,747	$758,114

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	132	400	$1,345,791
2016	165	571	$697,746
2017	105	372	$338,830
2018	109	335	$602,694
2019	131	539	$197,898
2020	123	585	$228,846
2021	162	663	$514,447
2022	131	770	$601,434
2023	99	507	$559,585
2024	126	681	$861,913

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	74	$128
96413	Administration of chemotherapy into vein, 1 hour or less	48	69	$88
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	108	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	96	$86
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	100	194	$44

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	80	2,670	$349,042
Genvoya	Elviteg/Cob/Emtri/Tenof Alafen	31	1,170	$142,836
Symtuza	Darunavir/Cob/Emtri/Tenof Alaf	12	360	$56,589
Odefsey	Emtricitab/Rilpiviri/Tenof Ala	13	390	$47,347
Daptomycin	Daptomycin	25	163	$33,328

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Amanda S. Carlson, M.D?

Tedicare shows public-source Medicare data for Amanda S. Carlson, M.D (NPI 1164628574), 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 Amanda S. Carlson, M.D have ACO affiliation data?

Amanda S. Carlson, M.D is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Amanda S. Carlson, M.D?

Amanda S. Carlson, M.D is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Amanda S. Carlson, M.D 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.