Physician

Andrew S Sohn, MD

According to 2025 Medicare claims, Andrew Sohn, MD (NPI: 1215977897) practices rheumatology in the Everett, WA market, with the plurality of this provider's patient population coming from Snohomish, WA. This provider's primary affiliated billing organization is WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI: 1093933491; TIN: 911602128) and primary practice location at 98203-2351. Sohn is affiliated with the Aledade 99 Pacific Northwest MSSP Enhanced (ACO ID: A4999), Jefferson Accountable Care, LLC (ACO ID: A5275), and PSW ACO (ACO ID: A5323), participating under the MSSP model.

Sohn's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 259 traditional Medicare patients, billed 16,396 HCPCS/CPT codes, and received $369,983 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 2,857 prescription claims across 360 beneficiaries totaling $2,517,181 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 12 records totaling $253. 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 moved from a lower plateau to a higher plateau, from $626,248 to $2,517,181. 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$270K$540K2015 Medicare payment: $317,536 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $386,161 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $475,953 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $471,724 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $540,185 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $467,990 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $453,844 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $452,760 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $425,066 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $369,983 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153769,061$317,536
20163937,739$386,161
201737313,271$475,953
201835022,951$471,724
201934423,827$540,185
202034013,929$467,990
202133314,404$453,844
202230517,105$452,760
202328617,841$425,066
202425916,396$369,983

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$1.3M$2.5M2015 Drug cost: $626,248 (USD; Tot_Drug_Cst)2016 Drug cost: $745,463 (USD; Tot_Drug_Cst)2017 Drug cost: $832,575 (USD; Tot_Drug_Cst)2018 Drug cost: $898,840 (USD; Tot_Drug_Cst)2019 Drug cost: $1,324,559 (USD; Tot_Drug_Cst)2020 Drug cost: $1,459,023 (USD; Tot_Drug_Cst)2021 Drug cost: $1,559,085 (USD; Tot_Drug_Cst)2022 Drug cost: $2,051,471 (USD; Tot_Drug_Cst)2023 Drug cost: $2,053,871 (USD; Tot_Drug_Cst)2024 Drug cost: $2,517,181 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153333,138$626,248
20163453,137$745,463
20173513,091$832,575
20183332,873$898,840
20193342,896$1,324,559
20203422,907$1,459,023
20213402,724$1,559,085
20223322,777$2,051,471
20233532,851$2,053,871
20243602,857$2,517,181

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 more5050$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more220582$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4051$64
G2211Visit 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's122174$13
J7050Infusion, normal saline solution, 250 cc26109$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept702,212$600,715
Humira(Cf) PenAdalimumab411,372$337,445
RinvoqUpadacitinib471,410$308,270
EnbrelEtanercept231,036$261,399
Orencia ClickjectAbatacept22616$124,409

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$253ABBVIE 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 Andrew S. Sohn, MD?

Tedicare shows public-source Medicare data for Andrew S. Sohn, MD (NPI 1215977897), 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 Andrew S. Sohn, MD have ACO affiliation data?

Andrew S. Sohn, MD is shown with ACO affiliation data for Aledade 99 Pacific Northwest MSSP Enhanced (MSSP, ACO ID A4999), Jefferson Accountable Care, LLC (MSSP, ACO ID A5275), and PSW ACO (MSSP, ACO ID A5323).

What billing organization is linked to Andrew S. Sohn, MD?

Andrew S. Sohn, MD is linked to WESTERN WASHINGTON MEDICAL GROUP, INC PS (billing NPI 1093933491) in the available physician profile data.

Does Andrew S. Sohn, MD have Open Payments data?

Andrew S. Sohn, MD has 12 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.