Physician

Kourtney G. Gardner, M.D.

According to 2025 Medicare claims, Kourtney Gardner, M.D. (NPI: 1194168666) practices allergy/immunology in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42101-4000. Gardner is affiliated with the GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Gardner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 178 traditional Medicare patients, billed 16,425 HCPCS/CPT codes, and received $285,947 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 1,969 prescription claims across 314 beneficiaries totaling $1,119,344 in drug costs, led by Nucala (Mepolizumab). DME data shows 125 claims. Open Payments data shows 47 records totaling $1,329. 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 sharply higher in recent years, from $23,697 to $285,947. Similarly, Part D prescription costs have moved sharply higher in recent years, from $19,915 to $1,119,344. 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$143K$286K2019 Medicare payment: $23,697 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $55,090 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $78,141 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $191,845 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $232,332 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $285,947 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019742,254$23,697
20201164,842$55,090
20211265,668$78,141
202217610,809$191,845
202317514,338$232,332
202417816,425$285,947

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$560K$1.1M2017 Drug cost: $19,915 (USD; Tot_Drug_Cst)2018 Drug cost: $86,024 (USD; Tot_Drug_Cst)2019 Drug cost: $78,438 (USD; Tot_Drug_Cst)2020 Drug cost: $76,288 (USD; Tot_Drug_Cst)2021 Drug cost: $210,755 (USD; Tot_Drug_Cst)2022 Drug cost: $358,593 (USD; Tot_Drug_Cst)2023 Drug cost: $1,050,622 (USD; Tot_Drug_Cst)2024 Drug cost: $1,119,344 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172341$19,915
20182198$86,024
201962147$78,438
2020156602$76,288
2021196890$210,755
20222501,074$358,593
20233001,652$1,050,622
20243141,969$1,119,344

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$80K$160K2024 Medicare payment: $160,184 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
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
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R125$160,184

* / # = 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 more3636$118
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8097$83
95165Professional service for preparation and provision of 1 or more antigens42620$8
95004Test for allergy using allergenic extract352,069$3
96160Administration and interpretation of patient-focused health risk assessment3744$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
NucalaMepolizumab24672$97,283
XolairOmalizumab20560$94,160
HyqviaIgg/Hyaluronidase,recombinant12336$83,345
XembifyImmune Globulin,gamma(Igg)klhw12336$71,269
Gamunex-CImmune Globul G/Gly/Iga Avg 4612336$55,457

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J1555Injection, immune globulin (cuvitru), 100 mgNN/R13$64,614
J1551Injection, immune globulin (cutaquig), 100 mgNN/R13$57,766
J1576Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mgNN/R12$31,401
Q2052Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)NN/R12$3,956
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R21$1,694

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.47$1,329Regeneron Healthcare Solutions, 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 Kourtney G. Gardner, M.D.?

Tedicare shows public-source Medicare data for Kourtney G. Gardner, M.D. (NPI 1194168666), 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 Kourtney G. Gardner, M.D. have ACO affiliation data?

Kourtney G. Gardner, M.D. is shown with ACO affiliation data for GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Kourtney G. Gardner, M.D.?

Kourtney G. Gardner, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Kourtney G. Gardner, M.D. have Open Payments data?

Kourtney G. Gardner, M.D. has 47 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.