Physician

Espiridion Pecaoco Elio, M.D.

According to 2025 Medicare claims, Espiridion Elio, M.D. (NPI: 1235176066) practices general psychiatry in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NEW HORIZON COUNSELING CENTER INC (NPI: 1366430563; TIN: 112593090) and primary practice location at 11420-1340. Elio is affiliated with the Community Care of Brooklyn IPA, Inc. (ACO ID: A4723), participating under the MSSP model.

Elio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 99 traditional Medicare patients, billed 917 HCPCS/CPT codes, and received $69,429 in Medicare payments. The top billing code was 90792 (Psychiatric diagnostic evaluation with medical services). Part D data shows 3,419 prescription claims across 170 beneficiaries totaling $314,338 in drug costs, led by Austedo (Deutetrabenazine). Open Payments data shows 14 records totaling $307. 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 $109,993 to $69,429. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $117,982 to $314,338. 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$55K$110K2015 Medicare payment: $109,993 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $104,712 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $78,464 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $76,994 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $82,143 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $89,085 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $91,362 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $73,837 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $69,751 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $69,429 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157511,328$109,993
20166851,338$104,712
20173751,168$78,464
20182811,126$76,994
20192791,239$82,143
20202121,308$89,085
20211061,082$91,362
202298921$73,837
202399892$69,751
202499917$69,429

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$166K$332K2015 Drug cost: $117,982 (USD; Tot_Drug_Cst)2016 Drug cost: $89,456 (USD; Tot_Drug_Cst)2017 Drug cost: $146,403 (USD; Tot_Drug_Cst)2018 Drug cost: $155,345 (USD; Tot_Drug_Cst)2019 Drug cost: $182,734 (USD; Tot_Drug_Cst)2020 Drug cost: $228,377 (USD; Tot_Drug_Cst)2021 Drug cost: $263,141 (USD; Tot_Drug_Cst)2022 Drug cost: $332,124 (USD; Tot_Drug_Cst)2023 Drug cost: $289,324 (USD; Tot_Drug_Cst)2024 Drug cost: $314,338 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152212,250$117,982
20163102,391$89,456
20172623,669$146,403
20182323,239$155,345
20192043,226$182,734
20201813,262$228,377
20211583,190$263,141
20221572,797$332,124
20231653,092$289,324
20241703,419$314,338

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
90792Psychiatric diagnostic evaluation with medical services1212$157
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more90736$77
99442Telephone medical discussion with physician, 11-20 minutes2361$69
90832Psychotherapy, 30 minutes2680$60
90833Psychotherapy with evaluation and management visit, 30 minutes2121$60

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AustedoDeutetrabenazine11330$84,204
RexultiBrexpiprazole29820$38,704
Risperdal ConstaRisperidone Microspheres17448$32,552
TrintellixVortioxetine Hydrobromide451,830$31,109
Abilify MaintenaAripiprazole11310$25,907

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.14$307Otsuka America Pharmaceutical, 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 Espiridion Pecaoco Elio, M.D.?

Tedicare shows public-source Medicare data for Espiridion Pecaoco Elio, M.D. (NPI 1235176066), 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 Espiridion Pecaoco Elio, M.D. have ACO affiliation data?

Espiridion Pecaoco Elio, M.D. is shown with ACO affiliation data for Community Care of Brooklyn IPA, Inc. (MSSP, ACO ID A4723).

What billing organization is linked to Espiridion Pecaoco Elio, M.D.?

Espiridion Pecaoco Elio, M.D. is linked to NEW HORIZON COUNSELING CENTER INC (billing NPI 1366430563) in the available physician profile data.

Does Espiridion Pecaoco Elio, M.D. have Open Payments data?

Espiridion Pecaoco Elio, M.D. has 14 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.