Physician

Cong He, M.D.

According to 2025 Medicare claims, Cong He, M.D. (NPI: 1194887281) practices interventional pain management (ipm) in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from New York, NY. This provider's primary affiliated billing organization is FLUSHING ANESTHESIA PAIN MANAGEMENT PLLC (NPI: 1508198508; TIN: 271765344) and primary practice location at 10013-4517. He is affiliated with the SOMOS ACO (ACO ID: A4577), participating under the MSSP model.

He's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 72 traditional Medicare patients, billed 3,098 HCPCS/CPT codes, and received $45,800 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 696 prescription claims across 318 beneficiaries totaling $5,527 in drug costs, led by Omeprazole (Omeprazole). 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 started with an early spike, then settled into a lower baseline, moving from $410,868 to $45,800. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $65,659 to $5,527. 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$219K$438K2015 Medicare payment: $410,868 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $438,209 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $302,734 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $233,321 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $204,946 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $112,656 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $107,015 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $102,237 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $49,785 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $45,800 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155016,825$410,868
20165056,048$438,209
20174473,288$302,734
20183662,615$233,321
20193303,749$204,946
20201781,913$112,656
20211492,965$107,015
20221182,320$102,237
202379273$49,785
2024723,098$45,800

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$33K$66K2015 Drug cost: $65,659 (USD; Tot_Drug_Cst)2016 Drug cost: $50,022 (USD; Tot_Drug_Cst)2017 Drug cost: $31,501 (USD; Tot_Drug_Cst)2018 Drug cost: $27,218 (USD; Tot_Drug_Cst)2019 Drug cost: $24,893 (USD; Tot_Drug_Cst)2020 Drug cost: $15,749 (USD; Tot_Drug_Cst)2021 Drug cost: $13,050 (USD; Tot_Drug_Cst)2022 Drug cost: $15,160 (USD; Tot_Drug_Cst)2023 Drug cost: $11,423 (USD; Tot_Drug_Cst)2024 Drug cost: $5,527 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155591,487$65,659
20167311,939$50,022
20177561,862$31,501
20187631,857$27,218
20197721,838$24,893
2020448983$15,749
20215901,346$13,050
20225051,116$15,160
2023379813$11,423
2024318696$5,527

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2828$142
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more1818$94
20611Aspiration and/or injection of fluid large joint using ultrasound guidance1843$88
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more3241$44
J1010Injection, methylprednisolone acetate, 1 mg222,572$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OmeprazoleOmeprazole2533,804$1,654
GabapentinGabapentin1554,109$1,155
CelecoxibCelecoxib1392,024$986
Diclofenac SodiumDiclofenac Sodium54807$310
NaproxenNaproxen50728$291

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.

FAQ

What Medicare data is available for Cong He, M.D.?

Tedicare shows public-source Medicare data for Cong He, M.D. (NPI 1194887281), 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 Cong He, M.D. have ACO affiliation data?

Cong He, M.D. is shown with ACO affiliation data for SOMOS ACO (MSSP, ACO ID A4577).

What billing organization is linked to Cong He, M.D.?

Cong He, M.D. is linked to FLUSHING ANESTHESIA PAIN MANAGEMENT PLLC (billing NPI 1508198508) in the available physician profile data.

Does Cong He, 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.