Physician

Lance Eugene Sullenberger, MD

According to 2025 Medicare claims, Lance Sullenberger, MD (NPI: 1174623086) practices cardiology in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Albany, NY. This provider's primary affiliated billing organization is CAPITAL CARDIOLOGY ASSOCIATES PLLC (NPI: 1518952332; TIN: 141834454) and primary practice location at 12211-2526. Sullenberger is affiliated with the Bassett Accountable Care Partners, LLC (ACO ID: A2612) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Sullenberger's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,606 traditional Medicare patients, billed 95,626 HCPCS/CPT codes, and received $2,136,641 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 27,123 prescription claims across 3,022 beneficiaries totaling $6,495,135 in drug costs, led by Eliquis (Apixaban). DME data shows 13 claims. Open Payments data shows 131 records totaling $49,038. 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 risen steadily, from $509,246 to $2,136,641. Similarly, Part D prescription costs have moved sharply higher in recent years, from $635,112 to $6,495,135. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $16,292 to $3,982.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,882	27,841	$509,246
2016	2,210	29,893	$582,023
2017	3,639	32,819	$1,115,070
2018	3,274	29,338	$1,197,114
2019	3,041	28,902	$1,142,648
2020	3,255	24,835	$1,068,582
2021	2,619	28,230	$1,170,958
2022	2,572	42,114	$1,603,453
2023	2,482	70,361	$1,685,871
2024	2,606	95,626	$2,136,641

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	820	5,947	$635,112
2016	1,009	7,416	$891,132
2017	1,251	9,277	$1,231,715
2018	1,419	11,347	$1,535,425
2019	1,613	13,115	$1,802,897
2020	1,857	15,486	$2,322,735
2021	2,082	17,688	$3,058,931
2022	2,251	20,367	$4,095,554
2023	2,641	23,676	$5,507,789
2024	3,022	27,123	$6,495,135

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	34	$1,477
2017	N/R	147	$4,631
2018	N/R	N/R	N/R
2019	N/R	22	$784
2020	N/R	26	$1,068
2021	N/R	11	$659
2022	N/R	33	$2,181
2023	N/R	11	$735
2024	N/R	13	$976

* / # = 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	1,255	1,787	$90
99426	Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	529	1,860	$51
G2211	Visit 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's	1,445	1,983	$12
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	1,419	1,970	$10
36415	Insertion of needle into vein for collection of blood sample	711	855	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,578	123,921	$2,330,578
Jardiance	Empagliflozin	649	51,686	$979,352
Repatha Sureclick	Evolocumab	561	36,370	$698,837
Entresto	Sacubitril/Valsartan	359	28,605	$544,644
Xarelto	Rivaroxaban	221	17,060	$311,351

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	13	$976

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	129	$44,706	Lilly USA, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	2	$4,332	Novartis Pharmaceuticals Corporation
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Lance Eugene Sullenberger, MD?

Tedicare shows public-source Medicare data for Lance Eugene Sullenberger, MD (NPI 1174623086), 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 Lance Eugene Sullenberger, MD have ACO affiliation data?

Lance Eugene Sullenberger, MD is shown with ACO affiliation data for Bassett Accountable Care Partners, LLC (MSSP, ACO ID A2612) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Lance Eugene Sullenberger, MD?

Lance Eugene Sullenberger, MD is linked to CAPITAL CARDIOLOGY ASSOCIATES PLLC (billing NPI 1518952332) in the available physician profile data.

Does Lance Eugene Sullenberger, MD have Open Payments data?

Lance Eugene Sullenberger, MD has 131 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.