Physician

David Andrew Cohen, M.D.

According to 2025 Medicare claims, David Cohen, M.D. (NPI: 1225079551) practices sleep medicine in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Lehigh, PA. This provider's primary affiliated billing organization is ST. LUKE'S PHYSICIAN GROUP, INC. (NPI: 1588755425; TIN: 232380812) and primary practice location at 18062-9600. Cohen is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560), participating under the MSSP model.

Cohen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 361 traditional Medicare patients, billed 867 HCPCS/CPT codes, and received $53,099 in Medicare payments. The top billing code was 95810 (Sleep study in sleep lab (6 years or older)). Part D data shows 375 prescription claims across 61 beneficiaries totaling $459,264 in drug costs, led by Wakix (Pitolisant Hcl). DME data shows 2,573 claims. Open Payments data shows 1 records totaling $156. 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 sharply higher in recent years, from $7,877 to $459,264. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $58,587 to $121,523.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	295	697	$56,459
2016	321	708	$54,426
2017	300	613	$47,056
2018	387	866	$68,350
2019	450	866	$64,413
2020	435	649	$43,289
2021	507	851	$69,835
2022	311	611	$54,446
2023	398	753	$57,454
2024	361	867	$53,099

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	31	139	$7,877
2016	34	144	$5,923
2017	31	143	$4,107
2018	47	201	$8,322
2019	57	243	$13,719
2020	81	360	$19,413
2021	95	587	$181,467
2022	76	339	$274,258
2023	60	413	$477,632
2024	61	375	$459,264

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	843	1,764	$57,801
2016	1,048	2,025	$61,316
2017	1,191	2,324	$67,607
2018	1,437	2,575	$82,038
2019	1,855	3,384	$114,020
2020	2,121	4,161	$136,317
2021	2,551	5,377	$168,691
2022	2,096	3,943	$140,402
2023	1,223	2,388	$104,896
2024	1,154	2,573	$121,318

* / # = 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
95810	Sleep study in sleep lab (6 years or older)	86	93	$92
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	77	79	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	164	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	125	159	$63
G2211	Visit 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's	155	203	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Wakix	Pitolisant Hcl	13	390	$205,414
Sodium Oxybate	Sodium Oxybate	15	366	$143,528
Xywav	Sodium,calcium,mag,pot Oxybate	14	325	$93,107
Horizant	Gabapentin Enacarbil	12	360	$5,928
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	37	1,350	$1,249

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
A7031	Face mask interface, replacement for full face mask, each	N	83	168	$14,286
A7030	Full face mask used with positive airway pressure device, each	N	88	172	$13,579
E0601	Continuous positive airway pressure (cpap) device	Y	80	453	$13,365
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	162	322	$11,821
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	11	$11,232

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$156	Inspire Medical Systems, Inc.
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

Explore More Providers

FAQ

What Medicare data is available for David Andrew Cohen, M.D.?

Tedicare shows public-source Medicare data for David Andrew Cohen, M.D. (NPI 1225079551), 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 David Andrew Cohen, M.D. have ACO affiliation data?

David Andrew Cohen, M.D. is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560).

What billing organization is linked to David Andrew Cohen, M.D.?

David Andrew Cohen, M.D. is linked to ST. LUKE'S PHYSICIAN GROUP, INC. (billing NPI 1588755425) in the available physician profile data.

Does David Andrew Cohen, M.D. have Open Payments data?

David Andrew Cohen, M.D. has 1 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.