Physician

Alexander Robert Thomas Graham, MD

According to 2025 Medicare claims, Alexander Graham, MD (NPI: 1245750561) practices pulmonary disease, with the plurality of this provider's patient population coming from Duplin, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27710-4000. Graham is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and AdvantagePoint Health Alliance - Western North Carolina, LLC (ACO ID: A5039), participating under the MSSP model.

Graham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 46 traditional Medicare patients, billed 148 HCPCS/CPT codes, and received $9,529 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 982 prescription claims across 53 beneficiaries totaling $4,576,225 in drug costs, led by Trikafta (Elexacaftor/Tezacaftor/Ivacaft). DME data shows 238 claims. No Open Payments records. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,823 to $4,576,225. 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$4.9K$9.8K2023 Medicare payment: $9,759 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $9,529 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
202344116$9,759
202446148$9,529

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$2.3M$4.6M2017 Drug cost: $2,823 (USD; Tot_Drug_Cst)2018 Drug cost: $8,655 (USD; Tot_Drug_Cst)2019 Drug cost: $9,925 (USD; Tot_Drug_Cst)2020 Drug cost: $10,953 (USD; Tot_Drug_Cst)2021 Drug cost: $7,865 (USD; Tot_Drug_Cst)2022 Drug cost: $14,784 (USD; Tot_Drug_Cst)2023 Drug cost: $753,994 (USD; Tot_Drug_Cst)2024 Drug cost: $4,576,225 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172670$2,823
201838125$8,655
201937202$9,925
202034133$10,953
20211147$7,865
20221240$14,784
202340204$753,994
202453982$4,576,225

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$38K$77K2024 Medicare payment: $76,835 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R238$76,835

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2439$103
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1442$63
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's2034$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TrikaftaElexacaftor/Tezacaftor/Ivacaft1393,892$3,615,535
SymdekoTezacaftor/Ivacaftor14392$351,999
CaystonAztreonam Lysine14626$168,641
CreonLipase/Protease/Amylase29835$145,930
ZenpepLipase/Protease/Amylase22685$100,573

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7639Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramNN/R20$61,500
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R12$11,088
J7606Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 microgramsNN/R11$1,611
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R34$828
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R61$752

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Alexander Robert Thomas Graham, MD?

Tedicare shows public-source Medicare data for Alexander Robert Thomas Graham, MD (NPI 1245750561), 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 Alexander Robert Thomas Graham, MD have ACO affiliation data?

Alexander Robert Thomas Graham, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and AdvantagePoint Health Alliance - Western North Carolina, LLC (MSSP, ACO ID A5039).

What billing organization is linked to Alexander Robert Thomas Graham, MD?

Alexander Robert Thomas Graham, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Alexander Robert Thomas Graham, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.