Physician

Robert Philip Albares, MD

According to 2025 Medicare claims, Robert Albares, MD (NPI: 1225081177) 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. Albares is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Albares' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 777 traditional Medicare patients, billed 25,462 HCPCS/CPT codes, and received $523,580 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 4,884 prescription claims across 1,110 beneficiaries totaling $1,602,010 in drug costs, led by Stelara (Ustekinumab). 2018 DME data shows 50 claims. Open Payments data shows 99 records totaling $2,087. 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 $528,612 to $523,580. In contrast, Part D prescription costs have moved sharply higher in recent years, from $1,370,672 to $1,602,010. 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$264K$529K2015 Medicare payment: $528,612 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $495,502 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $507,642 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $453,742 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $494,971 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $383,806 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $348,941 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $321,710 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $241,778 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $523,580 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,14431,658$528,612
20161,89736,722$495,502
20171,61840,498$507,642
20181,31552,299$453,742
20191,37143,406$494,971
20201,23920,392$383,806
20211,12518,613$348,941
202295418,898$321,710
202380011,373$241,778
202477725,462$523,580

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$801K$1.6M2015 Drug cost: $1,370,672 (USD; Tot_Drug_Cst)2016 Drug cost: $660,283 (USD; Tot_Drug_Cst)2017 Drug cost: $600,883 (USD; Tot_Drug_Cst)2018 Drug cost: $630,146 (USD; Tot_Drug_Cst)2019 Drug cost: $682,992 (USD; Tot_Drug_Cst)2020 Drug cost: $946,855 (USD; Tot_Drug_Cst)2021 Drug cost: $827,873 (USD; Tot_Drug_Cst)2022 Drug cost: $1,347,651 (USD; Tot_Drug_Cst)2023 Drug cost: $1,312,748 (USD; Tot_Drug_Cst)2024 Drug cost: $1,602,010 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158103,842$1,370,672
20168554,099$660,283
20178483,868$600,883
20188353,575$630,146
20197883,323$682,992
20208663,655$946,855
20219864,235$827,873
20221,0124,297$1,347,651
20239674,260$1,312,748
20241,1104,884$1,602,010

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$1.5K$3.0K2018 Medicare payment: $3,007 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R50$3,007
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
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$106
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more407605$84
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope199225$59
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1761,040$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 month1741,769$35

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab11616$305,306
LinzessLinaclotide19510,890$192,212
CreonLipase/Protease/Amylase421,390$138,053
Humira(Cf) PenAdalimumab12336$118,237
XifaxanRifaximin42946$115,313

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.99$2,087ABBVIE 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 Robert Philip Albares, MD?

Tedicare shows public-source Medicare data for Robert Philip Albares, MD (NPI 1225081177), 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 Robert Philip Albares, MD have ACO affiliation data?

Robert Philip Albares, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Robert Philip Albares, MD?

Robert Philip Albares, MD is linked to GUT PC (billing NPI 1073566006) in the available physician profile data.

Does Robert Philip Albares, MD have Open Payments data?

Robert Philip Albares, MD has 99 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.