Physician

Patrick D Gorman, MD

According to 2025 Medicare claims, Patrick Gorman, MD (NPI: 1295735769) practices cardiology in the Idaho Falls, ID market, with the plurality of this provider's patient population coming from Bonneville, ID. This provider's primary affiliated billing organization is MOUNTAIN VIEW HOSPITAL LLC (NPI: 1669462362; TIN: 820516012) and primary practice location at 83404-7554. Gorman is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), Aledade 151 Northern Territories MSSP Enhanced (ACO ID: A5349), CoreHealth Alliance LLC (ACO ID: A5645), and CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under both the MSSP and REACH models.

Gorman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,198 traditional Medicare patients, billed 4,422 HCPCS/CPT codes, and received $200,553 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 13,331 prescription claims across 1,683 beneficiaries totaling $1,455,426 in drug costs, led by Eliquis (Apixaban). DME data shows 720 claims. Open Payments data shows 17 records totaling $315. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $814,252 to $1,455,426. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $121,878 and ending at $45,509.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,984	4,526	$296,684
2016	2,396	5,081	$271,026
2017	2,461	5,306	$268,381
2018	2,546	6,184	$306,826
2019	2,764	6,807	$371,204
2020	2,344	5,395	$341,829
2021	2,213	5,128	$358,819
2022	2,781	5,630	$325,285
2023	2,636	5,375	$241,243
2024	2,198	4,422	$200,553

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	1,595	18,929	$814,252
2016	1,692	18,712	$773,131
2017	1,667	17,068	$776,515
2018	1,672	15,953	$813,085
2019	1,735	16,066	$1,015,858
2020	1,756	15,655	$1,288,427
2021	1,670	14,200	$1,342,552
2022	1,555	12,959	$1,269,526
2023	1,598	13,221	$1,386,169
2024	1,683	13,331	$1,455,426

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	338	1,651	$118,461
2016	353	1,529	$79,555
2017	339	1,419	$54,727
2018	327	1,587	$70,178
2019	242	1,256	$57,652
2020	245	1,336	$89,577
2021	230	1,241	$92,152
2022	184	1,109	$76,785
2023	175	888	$66,473
2024	143	720	$43,611

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,091	1,849	$67
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	181	183	$49
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	140	150	$45
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	865	1,069	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	758	40,118	$740,490
Entresto	Sacubitril/Valsartan	163	7,777	$151,137
Xarelto	Rivaroxaban	144	7,214	$129,328
Farxiga	Dapagliflozin Propanediol	57	2,468	$42,345
Repatha Sureclick	Evolocumab	37	1,728	$29,542

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	40	297	$26,657
E1392	Portable oxygen concentrator, rental	Y	18	130	$5,199
A7030	Full face mask used with positive airway pressure device, each	N	12	27	$2,944
A7031	Face mask interface, replacement for full face mask, each	N	N/R	27	$2,868
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	14	76	$1,314

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$315	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Patrick D. Gorman, MD?

Tedicare shows public-source Medicare data for Patrick D. Gorman, MD (NPI 1295735769), 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 Patrick D. Gorman, MD have ACO affiliation data?

Patrick D. Gorman, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), Aledade 151 Northern Territories MSSP Enhanced (MSSP, ACO ID A5349), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Patrick D. Gorman, MD?

Patrick D. Gorman, MD is linked to MOUNTAIN VIEW HOSPITAL LLC (billing NPI 1669462362) in the available physician profile data.

Does Patrick D. Gorman, MD have Open Payments data?

Patrick D. Gorman, MD has 17 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.