Physician

Henri Rommell Caoili, MD

According to 2025 Medicare claims, Henri Caoili, MD (NPI: 1285729533) practices physical medicine and rehabilitation in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-7217. Caoili is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), CVS ACO (ACO ID: A5407), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Caoili's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 493 traditional Medicare patients, billed 1,864 HCPCS/CPT codes, and received $101,849 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 2,132 prescription claims across 218 beneficiaries totaling $96,003 in drug costs, led by Eliquis (Apixaban). DME data shows 142 claims. Open Payments data shows 1 records totaling $95. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $114,754 and ending at $96,003. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $10,289 and ending at $6,296.

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$53K$105K2015 Medicare payment: $83,957 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $80,303 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $81,029 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $78,277 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $97,492 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $105,027 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $88,528 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $85,446 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $85,001 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $101,849 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154751,460$83,957
20164552,084$80,303
20175041,597$81,029
20184771,574$78,277
20195551,801$97,492
20204842,187$105,027
20214151,404$88,528
20224551,426$85,446
20234651,530$85,001
20244931,864$101,849

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$79K$159K2015 Drug cost: $114,754 (USD; Tot_Drug_Cst)2016 Drug cost: $135,711 (USD; Tot_Drug_Cst)2017 Drug cost: $154,758 (USD; Tot_Drug_Cst)2018 Drug cost: $158,692 (USD; Tot_Drug_Cst)2019 Drug cost: $122,897 (USD; Tot_Drug_Cst)2020 Drug cost: $79,454 (USD; Tot_Drug_Cst)2021 Drug cost: $74,822 (USD; Tot_Drug_Cst)2022 Drug cost: $77,812 (USD; Tot_Drug_Cst)2023 Drug cost: $124,102 (USD; Tot_Drug_Cst)2024 Drug cost: $96,003 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151651,377$114,754
20162151,852$135,711
20172212,028$154,758
20182131,900$158,692
20192001,783$122,897
20201771,712$79,454
20211221,509$74,822
20221481,583$77,812
20232152,012$124,102
20242182,132$96,003

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$9.4K$19K2015 Medicare payment: $4,933 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $13,119 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $623 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $246 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $18,701 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,518 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $13,155 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $172 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $16,141 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,843 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151391$4,933
2016110129$13,119
2017N/R51$623
2018N/R32$246
20191166$18,701
2020N/R77$2,518
2021N/R27$13,155
2022N/R16$172
202311116$16,141
2024N/R142$4,843

* / # = 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7678$96
99238Hospital discharge day management, 30 minutes or less111115$61
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes180824$59
95908Nerve conduction, 3-4 studies94100$47
95885Needle measurement of electrical activity in arm or leg muscles, limited study9191$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban31762$14,925
FentanylFentanyl1344,020$11,666
NucyntaTapentadol Hcl12336$10,065
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2707,354$6,772
Xtampza ErOxycodone Myristate19532$6,431

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R23$1,937
K0001Standard wheelchairYN/R48$971
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)YN/R11$758
E1392Portable oxygen concentrator, rentalYN/R13$498
K0003Lightweight wheelchairYN/R14$336

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$95Checkpoint Surgical, 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 Henri Rommell Caoili, MD?

Tedicare shows public-source Medicare data for Henri Rommell Caoili, MD (NPI 1285729533), 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 Henri Rommell Caoili, MD have ACO affiliation data?

Henri Rommell Caoili, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), CVS ACO (MSSP, ACO ID A5407), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Henri Rommell Caoili, MD?

Henri Rommell Caoili, MD is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Henri Rommell Caoili, MD have Open Payments data?

Henri Rommell Caoili, 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.