Physician

Anthony A Sanchez, MD

According to 2025 Medicare claims, Anthony Sanchez, MD (NPI: 1215988613) practices orthopedic surgery in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is SPARTANBURG MEDICAL CENTER (NPI: 1205669975; TIN: 576000934) and primary practice location at 29307-1041. Sanchez is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Sanchez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,475 traditional Medicare patients, billed 71,813 HCPCS/CPT codes, and received $593,727 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 7,130 prescription claims across 1,438 beneficiaries totaling $89,348 in drug costs, led by Eliquis (Apixaban). DME data shows 84 claims. Open Payments data shows 3 records totaling $169. 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 declined steadily, from $148,756 to $89,348. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $46,384 to $16,099.

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$416K$832K2015 Medicare payment: $608,139 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $673,035 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $644,682 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $648,911 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $693,956 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $701,030 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $832,072 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $786,652 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $679,797 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $593,727 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,4638,687$608,139
20161,51511,582$673,035
20171,55611,521$644,682
20181,57512,090$648,911
20191,59512,442$693,956
20201,54812,741$701,030
20211,54614,953$832,072
20221,57618,050$786,652
20231,52717,674$679,797
20241,47571,813$593,727

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$84K$168K2015 Drug cost: $148,756 (USD; Tot_Drug_Cst)2016 Drug cost: $168,361 (USD; Tot_Drug_Cst)2017 Drug cost: $127,693 (USD; Tot_Drug_Cst)2018 Drug cost: $144,798 (USD; Tot_Drug_Cst)2019 Drug cost: $118,256 (USD; Tot_Drug_Cst)2020 Drug cost: $151,942 (USD; Tot_Drug_Cst)2021 Drug cost: $140,577 (USD; Tot_Drug_Cst)2022 Drug cost: $123,291 (USD; Tot_Drug_Cst)2023 Drug cost: $112,812 (USD; Tot_Drug_Cst)2024 Drug cost: $89,348 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,0414,216$148,756
20161,0764,458$168,361
20171,1634,970$127,693
20181,2065,283$144,798
20191,2475,303$118,256
20201,3266,413$151,942
20211,3396,279$140,577
20221,4917,074$123,291
20231,4666,984$112,812
20241,4387,130$89,348

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$31K$62K2015 Medicare payment: $41,242 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $50,956 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $42,317 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $55,946 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $62,247 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $48,088 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $36,555 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $43,285 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $29,694 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,522 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015357452$41,242
2016396473$50,956
2017387505$42,317
2018370471$55,946
2019411484$62,247
2020269380$48,088
2021230279$36,555
2022243340$43,285
2023161208$29,694
20244784$8,522

* / # = 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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,0641,899$58
20610Aspiration and/or injection of fluid from large joint5111,093$49
73502X-ray of hip, 2-3 views338564$31
73560X-ray of knee, 1-2 views661822$22
J1010Injection, methylprednisolone acetate, 1 mg36757,905$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban26763$14,641
Diclofenac SodiumDiclofenac Sodium36410,838$10,261
CelecoxibCelecoxib49916,520$9,198
Naloxone HclNaloxone Hcl126472$8,199
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen7419,754$5,863

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN4748$5,245
E1810Dynamic adjustable knee extension / flexion device, includes soft interface materialYN/R36$3,277

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$169Anika Therapeutics, 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 Anthony A. Sanchez, MD?

Tedicare shows public-source Medicare data for Anthony A. Sanchez, MD (NPI 1215988613), 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 A. Sanchez, MD have ACO affiliation data?

Anthony A. Sanchez, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Anthony A. Sanchez, MD?

Anthony A. Sanchez, MD is linked to SPARTANBURG MEDICAL CENTER (billing NPI 1205669975) in the available physician profile data.

Does Anthony A. Sanchez, MD have Open Payments data?

Anthony A. Sanchez, MD has 3 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.