Physician

Stephen C Anderson, MD

According to 2025 Medicare claims, Stephen Anderson, MD (NPI: 1306867833) practices internal medicine in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is SWIFT RIVER MEDICAL ASSOCIATES LLC (NPI: 1386895019; TIN: 262522086) and primary practice location at 01007-1519.

Anderson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 621 traditional Medicare patients, billed 2,279 HCPCS/CPT codes, and received $180,801 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 6,996 prescription claims across 699 beneficiaries totaling $557,533 in drug costs, led by Trulicity (Dulaglutide). DME data shows 341 claims. Open Payments data shows 17 records totaling $410. 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 risen steadily, from $112,289 to $180,801. Similarly, Part D prescription costs have risen steadily, from $225,966 to $557,533. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $14,198 and ending at $27,700.

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$99K$199K2015 Medicare payment: $112,289 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $117,312 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $162,972 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $175,120 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $132,071 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $117,529 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $141,861 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $155,257 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $198,823 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $180,801 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154002,034$112,289
20163722,054$117,312
20174762,655$162,972
20184852,847$175,120
20194682,117$132,071
20204641,965$117,529
20214791,988$141,861
20225102,094$155,257
20236372,735$198,823
20246212,279$180,801

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$279K$558K2015 Drug cost: $225,966 (USD; Tot_Drug_Cst)2016 Drug cost: $332,061 (USD; Tot_Drug_Cst)2017 Drug cost: $298,247 (USD; Tot_Drug_Cst)2018 Drug cost: $296,690 (USD; Tot_Drug_Cst)2019 Drug cost: $356,028 (USD; Tot_Drug_Cst)2020 Drug cost: $373,526 (USD; Tot_Drug_Cst)2021 Drug cost: $414,179 (USD; Tot_Drug_Cst)2022 Drug cost: $443,937 (USD; Tot_Drug_Cst)2023 Drug cost: $525,967 (USD; Tot_Drug_Cst)2024 Drug cost: $557,533 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152863,758$225,966
20163294,488$332,061
20173604,317$298,247
20184054,468$296,690
20193984,593$356,028
20203854,338$373,526
20214224,586$414,179
20224544,471$443,937
20235445,547$525,967
20246996,996$557,533

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$9.9K$20K2015 Medicare payment: $18,770 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $8,474 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $14,090 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,011 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,209 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $12,983 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $9,232 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,430 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $15,212 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $19,854 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201548309$18,770
201644292$8,474
201737356$14,090
201849302$7,011
201936315$10,209
202046315$12,983
202115208$9,232
2022N/R156$5,430
202336313$15,212
202455341$19,854

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit338338$136
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more462754$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more301524$62
G0444Annual depression screening, 5 to 15 minutes7878$20
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6264$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TrulicityDulaglutide562,968$97,570
OzempicSemaglutide562,282$73,827
EliquisApixaban492,962$53,152
Trelegy ElliptaFluticasone/Umeclidin/Vilanter631,980$41,547
FarxigaDapagliflozin Propanediol341,620$28,713

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R12$5,966
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R25$1,888
A7030Full face mask used with positive airway pressure device, eachNN/R19$1,687
A7031Face mask interface, replacement for full face mask, eachNN/R19$1,668
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R12$1,246

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.17$410Lilly USA, LLC
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 Stephen C. Anderson, MD?

Tedicare shows public-source Medicare data for Stephen C. Anderson, MD (NPI 1306867833), 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 Stephen C. Anderson, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Stephen C. Anderson, MD?

Stephen C. Anderson, MD is linked to SWIFT RIVER MEDICAL ASSOCIATES LLC (billing NPI 1386895019) in the available physician profile data.

Does Stephen C. Anderson, MD have Open Payments data?

Stephen C. Anderson, 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.