Physician

Gregory J Hicken, M.D.

According to 2025 Medicare claims, Gregory Hicken, M.D. (NPI: 1225027931) practices orthopedic surgery in the Logan, UT-ID market, with the plurality of this provider's patient population coming from Franklin, ID. This provider's primary affiliated billing organization is FRANKLIN COUNTY MEDICAL CENTER (NPI: 1548355811; TIN: 826003449) and primary practice location at 83263-1326. Hicken is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Hicken's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 159 traditional Medicare patients, billed 573 HCPCS/CPT codes, and received $46,593 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 368 prescription claims across 93 beneficiaries totaling $7,826 in drug costs, led by Celecoxib (Celecoxib). DME data shows 31 claims. Open Payments data shows 3 records totaling $174. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $17,543 and ending at $7,826. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $9,635 and ending at $6,149.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	256	1,901	$139,062
2016	229	1,738	$132,406
2017	258	2,273	$158,024
2018	269	2,021	$144,066
2019	247	1,992	$144,265
2020	271	1,848	$148,033
2021	270	1,915	$157,137
2022	269	2,325	$134,306
2023	210	1,225	$93,609
2024	159	573	$46,593

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	146	411	$17,543
2016	105	258	$6,349
2017	163	539	$15,583
2018	147	427	$10,600
2019	162	495	$10,188
2020	179	698	$18,169
2021	204	718	$10,105
2022	184	537	$10,890
2023	146	524	$13,790
2024	93	368	$7,826

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	15	27	$1,414
2017	21	21	$1,672
2018	17	17	$1,363
2019	16	16	$1,304
2020	14	14	$1,109
2021	14	14	$1,190
2022	19	20	$7,529
2023	14	14	$5,676
2024	29	31	$11,780

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	43	$88
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$70
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	97	150	$60
J1100	Injection, dexamethasone sodium phosphate, 1 mg	20	206	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	65	2,188	$1,272
Pregabalin	Pregabalin	40	1,083	$468
Mupirocin	Mupirocin	41	543	$328
Hydromorphone Hcl	Hydromorphone Hcl	48	285	$241
Cephalexin	Cephalexin	45	232	$212

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
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	N	16	17	$6,092
E0935	Continuous passive motion exercise device for use on knee only	Y	13	14	$5,688

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$174	Active Medical, 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 Gregory J. Hicken, M.D.?

Tedicare shows public-source Medicare data for Gregory J. Hicken, M.D. (NPI 1225027931), 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 Gregory J. Hicken, M.D. have ACO affiliation data?

Gregory J. Hicken, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Gregory J. Hicken, M.D.?

Gregory J. Hicken, M.D. is linked to FRANKLIN COUNTY MEDICAL CENTER (billing NPI 1548355811) in the available physician profile data.

Does Gregory J. Hicken, M.D. have Open Payments data?

Gregory J. Hicken, M.D. 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.