Physician

Carly Lynn Skamra, M.D.

According to 2025 Medicare claims, Carly Skamra, M.D. (NPI: 1275670275) practices rheumatology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Waukesha, WI. This provider's primary affiliated billing organization is WEST SUBURBAN CTR FOR ARTHRITIS (NPI: 1407857188; TIN: 391418162) and primary practice location at 53045-5929. Skamra is affiliated with the ProHealth Solutions, LLC (ACO ID: A4979), participating under the MSSP model.

Skamra's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 498 traditional Medicare patients, billed 110,982 HCPCS/CPT codes, and received $1,342,628 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,631 prescription claims across 760 beneficiaries totaling $3,829,062 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 9 records totaling $290. 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 moved from a lower plateau to a higher plateau, from $221,256 to $1,342,628. Similarly, Part D prescription costs have moved sharply higher in recent years, from $427,413 to $3,829,062. 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$671K$1.3M2015 Medicare payment: $221,256 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $363,955 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $518,560 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $715,434 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $824,381 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $730,911 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $635,238 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $727,285 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,012,979 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,342,628 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152679,495$221,256
201629718,840$363,955
201736129,655$518,560
201842844,777$715,434
201943448,194$824,381
202040239,506$730,911
202137942,010$635,238
202243953,442$727,285
202349985,264$1,012,979
2024498110,982$1,342,628

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$1.9M$3.8M2015 Drug cost: $427,413 (USD; Tot_Drug_Cst)2016 Drug cost: $702,668 (USD; Tot_Drug_Cst)2017 Drug cost: $1,053,403 (USD; Tot_Drug_Cst)2018 Drug cost: $1,284,816 (USD; Tot_Drug_Cst)2019 Drug cost: $1,561,727 (USD; Tot_Drug_Cst)2020 Drug cost: $1,903,306 (USD; Tot_Drug_Cst)2021 Drug cost: $2,536,075 (USD; Tot_Drug_Cst)2022 Drug cost: $3,105,014 (USD; Tot_Drug_Cst)2023 Drug cost: $3,108,196 (USD; Tot_Drug_Cst)2024 Drug cost: $3,829,062 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152531,566$427,413
20162811,985$702,668
20173942,755$1,053,403
20184383,334$1,284,816
20194743,702$1,561,727
20204883,877$1,903,306
20215354,241$2,536,075
20226034,718$3,105,014
20236844,990$3,108,196
20247605,631$3,829,062

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more360724$84
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's366633$11
36415Insertion of needle into vein for collection of blood sample393974$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count350896$8
82040Albumin (protein) level348880$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab1775,568$1,430,880
Enbrel SureclickEtanercept711,992$600,841
Cosentyx Sensoready (2 Pens)Secukinumab28952$237,431
Cosentyx Unoready PenSecukinumab14561$178,833
Humira(Cf)Adalimumab25700$176,426

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.9$290Boehringer Ingelheim Pharmaceuticals, 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 Carly Lynn Skamra, M.D.?

Tedicare shows public-source Medicare data for Carly Lynn Skamra, M.D. (NPI 1275670275), 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 Carly Lynn Skamra, M.D. have ACO affiliation data?

Carly Lynn Skamra, M.D. is shown with ACO affiliation data for ProHealth Solutions, LLC (MSSP, ACO ID A4979).

What billing organization is linked to Carly Lynn Skamra, M.D.?

Carly Lynn Skamra, M.D. is linked to WEST SUBURBAN CTR FOR ARTHRITIS (billing NPI 1407857188) in the available physician profile data.

Does Carly Lynn Skamra, M.D. have Open Payments data?

Carly Lynn Skamra, M.D. has 9 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.