Physician

Charles S Sutton, MD

According to 2025 Medicare claims, Charles Sutton, MD (NPI: 1255315032) practices interventional radiology, with the plurality of this provider's patient population coming from Wayne, PA. This provider's primary affiliated billing organization is WAYNE MEMORIAL HOSPITAL (NPI: 1124026182; TIN: 240798839) and primary practice location at 18431-1445. Sutton is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 299 traditional Medicare patients, billed 398 HCPCS/CPT codes, and received $6,815 in Medicare payments. The top billing code was 74230 (Imaging for evaluation of swallowing function). 2023 Part D data shows 61 prescription claims totaling $6,606 in drug costs. Open Payments data shows 1 records totaling $14. 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 started with an early spike, then settled into a lower baseline, moving from $11,502 to $6,815. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$19K$37K2015 Medicare payment: $11,502 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $37,348 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $16,716 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,786 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $8,517 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $6,673 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $30,995 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $14,426 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $7,035 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $6,815 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201566170$11,502
2016167487$37,348
2017170343$16,716
201892152$4,786
2019204267$8,517
2020219280$6,673
2021275509$30,995
2022153291$14,426
202378135$7,035
2024299398$6,815

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$3.3K$6.6K2022 Drug cost: $4,747 (USD; Tot_Drug_Cst)2023 Drug cost: $6,606 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
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/R40$4,747
2023N/R61$6,606
2024N/RN/RN/R

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
74230Imaging for evaluation of swallowing function1717$16
74220Single contrast x-ray of esophagus1111$14
73502X-ray of hip, 2-3 views2021$6
71046X-ray of chest, 2 views4849$5
71045X-ray of chest, 1 view3639$5

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.1$14Bard Peripheral Vascular, 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 Charles S. Sutton, MD?

Tedicare shows public-source Medicare data for Charles S. Sutton, MD (NPI 1255315032), 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 Charles S. Sutton, MD have ACO affiliation data?

Charles S. Sutton, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Charles S. Sutton, MD?

Charles S. Sutton, MD is linked to WAYNE MEMORIAL HOSPITAL (billing NPI 1124026182) in the available physician profile data.

Does Charles S. Sutton, MD have Open Payments data?

Charles S. Sutton, MD has 1 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.