Physician

Gerald S Weinstein, MD

According to 2025 Medicare claims, Gerald Weinstein, MD (NPI: 1265423081) practices internal medicine in the Watertown-Fort Drum, NY market, with the plurality of this provider's patient population coming from Jefferson, NY. This provider's primary affiliated billing organization is GERALD STEVEN WEINSTEIN (NPI: 1003973421) and primary practice location at 13601-0517. Weinstein is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Weinstein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 434 traditional Medicare patients, billed 845 HCPCS/CPT codes, and received $86,910 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,401 prescription claims across 444 beneficiaries totaling $569,818 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 5 records totaling $118. 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 $116,226 to $86,910. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$60K$120K2015 Medicare payment: $116,226 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $119,796 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $120,225 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $110,710 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $95,540 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $57,573 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $86,783 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $64,183 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $69,197 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $86,910 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155601,017$116,226
20166271,163$119,796
20175851,158$120,225
20185671,129$110,710
2019496994$95,540
2020340647$57,573
2021418838$86,783
2022399689$64,183
2023478770$69,197
2024434845$86,910

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$285K$570K2015 Drug cost: $380,392 (USD; Tot_Drug_Cst)2016 Drug cost: $414,541 (USD; Tot_Drug_Cst)2017 Drug cost: $366,542 (USD; Tot_Drug_Cst)2018 Drug cost: $377,782 (USD; Tot_Drug_Cst)2019 Drug cost: $325,628 (USD; Tot_Drug_Cst)2020 Drug cost: $294,929 (USD; Tot_Drug_Cst)2021 Drug cost: $295,063 (USD; Tot_Drug_Cst)2022 Drug cost: $422,851 (USD; Tot_Drug_Cst)2023 Drug cost: $512,850 (USD; Tot_Drug_Cst)2024 Drug cost: $569,818 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015321933$380,392
20165341,320$414,541
20174801,298$366,542
20185051,269$377,782
20194841,270$325,628
20203841,143$294,929
20214051,235$295,063
20224651,327$422,851
20235861,498$512,850
20244441,401$569,818

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9294$202
G0105Colorectal cancer screening; colonoscopy on individual at high risk8484$182
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more194194$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more136203$61
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope136136$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab11924$255,443
XifaxanRifaximin14388$45,974
MesalamineMesalamine523,404$40,905
LinzessLinaclotide19870$16,043
SuflavePeg 3350/Sod Sulf,chlr/Pot/Mag95122$11,274

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.5$118Takeda Pharmaceuticals U.S.A., 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 Gerald S. Weinstein, MD?

Tedicare shows public-source Medicare data for Gerald S. Weinstein, MD (NPI 1265423081), 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 Gerald S. Weinstein, MD have ACO affiliation data?

Gerald S. Weinstein, MD is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Gerald S. Weinstein, MD?

Gerald S. Weinstein, MD is linked to GERALD STEVEN WEINSTEIN (billing NPI 1003973421) in the available physician profile data.

Does Gerald S. Weinstein, MD have Open Payments data?

Gerald S. Weinstein, MD has 5 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.