Physician

Andrew K Gavagan, MD

According to 2025 Medicare claims, Andrew Gavagan, MD (NPI: 1225011596) practices plastic and reconstructive surgery in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is ANDREW K GAVAGAN MD PC (NPI: 1619163748) and primary practice location at 48043-1716.

Gavagan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 105 traditional Medicare patients, billed 516 HCPCS/CPT codes, and received $49,907 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 22 prescription claims totaling $261 in drug costs, led by Silver Sulfadiazine (Silver Sulfadiazine). DME data shows 76 claims. Open Payments data shows 14 records totaling $364. 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 declined steadily, from $244,497 to $49,907. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,304 and ending at $261. For DME billing, reported payments fell sharply in recent years, from $50,763 to $9,188.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,038	2,819	$244,497
2016	378	1,382	$120,953
2017	305	1,648	$129,702
2018	308	1,697	$150,411
2019	274	1,432	$139,830
2020	199	1,014	$91,515
2021	170	933	$90,600
2022	189	1,025	$102,925
2023	141	670	$64,353
2024	105	516	$49,907

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	26	52	$2,304
2016	31	52	$25,766
2017	19	43	$4,042
2018	19	39	$41,914
2019	20	38	$39,944
2020	21	28	$348
2021	21	36	$406
2022	44	99	$2,341
2023	19	38	$666
2024	N/R	22	$261

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	139	387	$36,987
2016	100	413	$44,589
2017	136	536	$54,651
2018	125	530	$67,223
2019	102	326	$32,441
2020	29	186	$14,881
2021	51	179	$15,388
2022	17	93	$2,718
2023	12	133	$4,336
2024	N/R	76	$2,978

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	59	$105
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	77	$74
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	130	$63
11042	Removal of skin and tissue, 20.0 sq cm or less	17	64	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Silver Sulfadiazine	Silver Sulfadiazine	11	315	$155

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	11	$836
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	N	N/R	11	$804
A6240	Hydrocolloid dressing, wound filler, paste, sterile, per ounce	N	N/R	11	$719
A4452	Tape, waterproof, per 18 square inches	N	N/R	14	$354
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	N/R	18	$193

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$364	Mentor Worldwide LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Andrew K. Gavagan, MD?

Tedicare shows public-source Medicare data for Andrew K. Gavagan, MD (NPI 1225011596), 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 K. Gavagan, 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 Andrew K. Gavagan, MD?

Andrew K. Gavagan, MD is linked to ANDREW K GAVAGAN MD PC (billing NPI 1619163748) in the available physician profile data.

Does Andrew K. Gavagan, MD have Open Payments data?

Andrew K. Gavagan, MD has 14 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.