Physician

Anthony S Padula, M.D.

According to 2025 Medicare claims, Anthony Padula, M.D. (NPI: 1235103813) practices rheumatology in the Oakland-Fremont-Berkeley, CA market, with the plurality of this provider's patient population coming from Contra Costa, CA. This provider's primary affiliated billing organization is ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC (NPI: 1154403483; TIN: 943295212) and primary practice location at 94598-3007.

Padula's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 348 traditional Medicare patients, billed 144,684 HCPCS/CPT codes, and received $1,540,589 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,714 prescription claims across 334 beneficiaries totaling $1,751,323 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 246 records totaling $62,220. 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 moved sharply higher in recent years, from $152,054 to $1,540,589. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $705,920 to $1,751,323. 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$790K$1.6M2015 Medicare payment: $152,054 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $139,287 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $158,048 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $160,183 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $130,686 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $121,140 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,229,656 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,580,457 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,521,137 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,540,589 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153604,546$152,054
20163803,707$139,287
20174004,583$158,048
20184223,904$160,183
20193692,862$130,686
20203382,895$121,140
2021327104,001$1,229,656
2022315157,518$1,580,457
2023313161,191$1,521,137
2024348144,684$1,540,589

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$876K$1.8M2015 Drug cost: $705,920 (USD; Tot_Drug_Cst)2016 Drug cost: $704,418 (USD; Tot_Drug_Cst)2017 Drug cost: $1,014,818 (USD; Tot_Drug_Cst)2018 Drug cost: $1,326,453 (USD; Tot_Drug_Cst)2019 Drug cost: $1,396,889 (USD; Tot_Drug_Cst)2020 Drug cost: $1,458,932 (USD; Tot_Drug_Cst)2021 Drug cost: $1,377,009 (USD; Tot_Drug_Cst)2022 Drug cost: $1,312,678 (USD; Tot_Drug_Cst)2023 Drug cost: $1,516,966 (USD; Tot_Drug_Cst)2024 Drug cost: $1,751,323 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153002,460$705,920
20163052,830$704,418
20173183,116$1,014,818
20183333,101$1,326,453
20193032,624$1,396,889
20202942,566$1,458,932
20212922,508$1,377,009
20222962,310$1,312,678
20233062,481$1,516,966
20243342,714$1,751,323

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3737$182
96413Administration of chemotherapy into vein, 1 hour or less72452$138
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more333988$111
G2211Visit 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's292719$14
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg46234$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept481,456$371,682
Humira(Cf) PenAdalimumab481,344$322,432
Cimzia (2 Pack)Certolizumab Pegol481,344$282,139
KevzaraSarilumab33980$144,240
EnbrelEtanercept18504$129,717

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.246$62,220ABBVIE 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 Anthony S. Padula, M.D.?

Tedicare shows public-source Medicare data for Anthony S. Padula, M.D. (NPI 1235103813), 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 Anthony S. Padula, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Anthony S. Padula, M.D.?

Anthony S. Padula, M.D. is linked to ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC (billing NPI 1154403483) in the available physician profile data.

Does Anthony S. Padula, M.D. have Open Payments data?

Anthony S. Padula, M.D. has 246 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.