Physician

Susan E. Otero, MD

According to 2025 Medicare claims, Susan Otero, MD (NPI: 1205997244) practices plastic and reconstructive surgery in the Washington, DC-MD market, with the plurality of this provider's patient population coming from The District, DC. This provider's primary affiliated billing organization is SKILLED FACILITY HEALTH CARE SOLUTIONS INC (NPI: 1104018423; TIN: 260519176) and primary practice location at 22060-2703.

Otero's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 563 traditional Medicare patients, billed 3,112 HCPCS/CPT codes, and received $369,348 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 17 prescription claims totaling $531 in drug costs. 2023 DME data shows 17 claims. 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 from a lower plateau to a higher plateau, from $200,391 to $369,348. In contrast, Part D prescription costs have declined steadily, from $17,408 to $531. For DME billing, reported payments fell sharply in recent years, from $18,538 to $8,816.

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$245K$490K2015 Medicare payment: $200,391 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $172,884 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $155,237 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $78,542 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $254,349 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $490,016 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $223,139 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $341,766 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $418,273 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $369,348 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152451,514$200,391
20162351,210$172,884
2017278945$155,237
2018193536$78,542
20196303,472$254,349
20206385,513$490,016
20214022,307$223,139
20226093,485$341,766
20236543,812$418,273
20245633,112$369,348

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$17K$33K2015 Drug cost: $17,408 (USD; Tot_Drug_Cst)2016 Drug cost: $11,609 (USD; Tot_Drug_Cst)2017 Drug cost: $33,160 (USD; Tot_Drug_Cst)2018 Drug cost: $14,667 (USD; Tot_Drug_Cst)2022 Drug cost: $1,135 (USD; Tot_Drug_Cst)2023 Drug cost: $983 (USD; Tot_Drug_Cst)2024 Drug cost: $531 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201552156$17,408
201643143$11,609
20174388$33,160
20181123$14,667
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R22$1,135
2023N/R40$983
2024N/R17$531

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$17K$35K2015 Medicare payment: $15,843 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $15,810 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $20,361 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $34,644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,251 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $3,945 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R73$15,843
2016N/R69$15,810
201756123$20,361
2018N/R57$34,644
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R15$5,251
2023N/R17$3,945
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more6263$161
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes130484$140
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes248250$122
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3781,703$97
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more98113$70

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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 Susan E. Otero, MD?

Tedicare shows public-source Medicare data for Susan E. Otero, MD (NPI 1205997244), 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 Susan E. Otero, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Susan E. Otero, MD?

Susan E. Otero, MD is linked to SKILLED FACILITY HEALTH CARE SOLUTIONS INC (billing NPI 1104018423) in the available physician profile data.

Does Susan E. Otero, MD 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.