Physician

Anthony P. Baron, MD

According to 2025 Medicare claims, Anthony Baron, MD (NPI: 1184621336) practices rheumatology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is MICHIGAN HEALTHCARE PROFESSIONALS PC (NPI: 1295023547; TIN: 451674932) and primary practice location at 48093-3465. Baron is affiliated with the POM ACO (ACO ID: A1297) and Honest ACO of Michigan LLC (ACO ID: D0236), participating under both the MSSP and REACH models.

Baron's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 315 traditional Medicare patients, billed 99,219 HCPCS/CPT codes, and received $1,019,569 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 2,948 prescription claims across 342 beneficiaries totaling $1,811,677 in drug costs, led by Enbrel Sureclick (Etanercept). 2016 DME data shows 26 claims. Open Payments data shows 22 records totaling $615. 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 risen steadily, from $827,091 to $1,811,677. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $796 and ending at $435.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	460	40,561	$1,313,586
2016	480	60,585	$1,292,388
2017	443	68,595	$1,279,411
2018	415	67,857	$1,346,369
2019	382	80,407	$1,284,993
2020	322	76,292	$1,242,319
2021	329	67,361	$1,159,344
2022	319	71,646	$1,050,161
2023	298	70,575	$872,357
2024	315	99,219	$1,019,569

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	403	4,365	$827,091
2016	406	4,212	$909,509
2017	394	4,018	$1,192,326
2018	389	3,775	$1,295,719
2019	382	3,539	$1,214,072
2020	359	3,508	$1,190,595
2021	333	3,094	$1,264,573
2022	344	3,124	$1,592,763
2023	325	2,778	$1,466,365
2024	342	2,948	$1,811,677

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	79	$610
2016	N/R	26	$189
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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	249	772	$92
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	201	486	$12
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	201	538	$8
84450	Liver enzyme (sgot), level	181	477	$5
85651	Red blood cell sedimentation rate, to detect inflammation, non-automated	186	486	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	69	2,072	$539,778
Xeljanz	Tofacitinib Citrate	28	933	$156,501
Humira(Cf) Pen	Adalimumab	21	588	$151,213
Humira Pen	Adalimumab	23	644	$150,134
Orencia Clickject	Abatacept	11	532	$118,165

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	22	$615	Janssen Biotech, Inc.
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

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FAQ

What Medicare data is available for Anthony P. Baron, MD?

Tedicare shows public-source Medicare data for Anthony P. Baron, MD (NPI 1184621336), 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 Anthony P. Baron, MD have ACO affiliation data?

Anthony P. Baron, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and Honest ACO of Michigan LLC (REACH, ACO ID D0236).

What billing organization is linked to Anthony P. Baron, MD?

Anthony P. Baron, MD is linked to MICHIGAN HEALTHCARE PROFESSIONALS PC (billing NPI 1295023547) in the available physician profile data.

Does Anthony P. Baron, MD have Open Payments data?

Anthony P. Baron, MD has 22 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.