Physician

Anne Caroline Banas, M.D.

According to 2025 Medicare claims, Anne Banas, M.D. (NPI: 1255650842) practices hospice and palliative care in the Buffalo-Cheektowaga, NY market, with the plurality of this provider's patient population coming from Erie, NY. This provider's primary affiliated billing organization is GENERAL PHYSICIAN, PC (NPI: 1093959322; TIN: 16-1460136) and primary practice location at 14209-3021. Banas is affiliated with the Optimum NY Independent Practice Association, LLC (ACO ID: D0294), participating under the REACH model.

Banas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 147 traditional Medicare patients, billed 444 HCPCS/CPT codes, and received $36,263 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 24 prescription claims totaling $4,902 in drug costs. 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 declined steadily, from $38,557 to $4,902. 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$18K$36K2024 Medicare payment: $36,263 (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
2023N/RN/RN/R
2024147444$36,263

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$19K$39K2015 Drug cost: $38,557 (USD; Tot_Drug_Cst)2016 Drug cost: $34,424 (USD; Tot_Drug_Cst)2017 Drug cost: $28,774 (USD; Tot_Drug_Cst)2018 Drug cost: $20,486 (USD; Tot_Drug_Cst)2019 Drug cost: $19,652 (USD; Tot_Drug_Cst)2020 Drug cost: $27,212 (USD; Tot_Drug_Cst)2021 Drug cost: $16,784 (USD; Tot_Drug_Cst)2022 Drug cost: $11,510 (USD; Tot_Drug_Cst)2023 Drug cost: $11,486 (USD; Tot_Drug_Cst)2024 Drug cost: $4,902 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015110529$38,557
2016163584$34,424
2017151547$28,774
2018149571$20,486
2019152597$19,652
2020147525$27,212
2021153531$16,784
202298330$11,510
202393341$11,486
2024N/R24$4,902

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$130
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes99169$112
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3446$79
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2233$59
99497Advance care planning, first 30 minutes4150$57

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Anne Caroline Banas, M.D.?

Tedicare shows public-source Medicare data for Anne Caroline Banas, M.D. (NPI 1255650842), 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 Anne Caroline Banas, M.D. have ACO affiliation data?

Anne Caroline Banas, M.D. is shown with ACO affiliation data for Optimum NY Independent Practice Association, LLC (REACH, ACO ID D0294).

What billing organization is linked to Anne Caroline Banas, M.D.?

Anne Caroline Banas, M.D. is linked to GENERAL PHYSICIAN, PC (billing NPI 1093959322) in the available physician profile data.

Does Anne Caroline Banas, M.D. 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.