Physician

Samuel Joseph Tarwater, MD

According to 2025 Medicare claims, Samuel Tarwater, MD (NPI: 1225080906) practices gastroenterology in the Dothan, AL market, with the plurality of this provider's patient population coming from Houston, AL. This provider's primary affiliated billing organization is GUT PC (NPI: 1073566006; TIN: 20-2904686) and primary practice location at 36305-1156. Tarwater is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Tarwater's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 958 traditional Medicare patients, billed 19,238 HCPCS/CPT codes, and received $432,341 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 5,644 prescription claims across 1,215 beneficiaries totaling $2,825,214 in drug costs, led by Stelara (Ustekinumab). 2023 DME data shows 44 claims. Open Payments data shows 163 records totaling $89,220. 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 $744,901 to $432,341. In contrast, Part D prescription costs have moved sharply higher in recent years, from $1,125,734 to $2,825,214. 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$372K$745K2015 Medicare payment: $744,901 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $710,328 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $660,224 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $675,001 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $573,754 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $413,092 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $381,048 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $418,668 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $417,010 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $432,341 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,22943,809$744,901
20161,84551,084$710,328
20171,58452,347$660,224
20181,50947,532$675,001
20191,48940,284$573,754
20201,31424,260$413,092
20211,17520,455$381,048
20221,11724,107$418,668
20231,01421,565$417,010
202495819,238$432,341

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$1.4M$2.8M2015 Drug cost: $1,125,734 (USD; Tot_Drug_Cst)2016 Drug cost: $587,826 (USD; Tot_Drug_Cst)2017 Drug cost: $633,968 (USD; Tot_Drug_Cst)2018 Drug cost: $762,884 (USD; Tot_Drug_Cst)2019 Drug cost: $892,206 (USD; Tot_Drug_Cst)2020 Drug cost: $1,131,099 (USD; Tot_Drug_Cst)2021 Drug cost: $1,658,194 (USD; Tot_Drug_Cst)2022 Drug cost: $2,226,828 (USD; Tot_Drug_Cst)2023 Drug cost: $2,608,059 (USD; Tot_Drug_Cst)2024 Drug cost: $2,825,214 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158584,110$1,125,734
20168894,325$587,826
20178474,182$633,968
20188834,284$762,884
20199434,365$892,206
20209674,820$1,131,099
20211,0435,336$1,658,194
20221,1535,567$2,226,828
20231,2335,807$2,608,059
20241,2155,644$2,825,214

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$13K$26K2015 Medicare payment: $1,115 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,137 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,009 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $352 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $744 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $359 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $26,464 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R41$1,115
2016N/R36$1,137
2017N/R35$1,009
2018N/R12$352
2019N/RN/RN/R
2020N/R12$744
2021N/RN/RN/R
2022N/R11$359
2023N/R44$26,464
2024N/RN/RN/R

* / # = 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 more189189$107
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more347451$88
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope197216$65
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2041,241$46
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month2032,119$35

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab12672$342,580
CreonLipase/Protease/Amylase1053,393$305,815
LinzessLinaclotide28513,320$235,750
ZenpepLipase/Protease/Amylase441,415$187,246
Humira(Cf)Adalimumab14398$181,426

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.117$2,204ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.46$87,016PFIZER INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Samuel Joseph Tarwater, MD?

Tedicare shows public-source Medicare data for Samuel Joseph Tarwater, MD (NPI 1225080906), 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 Samuel Joseph Tarwater, MD have ACO affiliation data?

Samuel Joseph Tarwater, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Samuel Joseph Tarwater, MD?

Samuel Joseph Tarwater, MD is linked to GUT PC (billing NPI 1073566006) in the available physician profile data.

Does Samuel Joseph Tarwater, MD have Open Payments data?

Samuel Joseph Tarwater, MD has 163 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.