Physician

Terry E. Ham, MD

According to 2025 Medicare claims, Terry Ham, MD (NPI: 1306891650) practices internal medicine in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is PRIVIA MEDICAL GROUP OF GEORGIA LLC (NPI: 1013313857; TIN: 202265068) and primary practice location at 31069-4953. Ham is affiliated with the Accountable Care Coalition of Georgia, LLC. (ACO ID: A1596), Privia Quality Network of Georgia (ACO ID: A3236), and TC2, LLC (ACO ID: A3365), participating under the MSSP model.

Ham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,217 traditional Medicare patients, billed 4,893 HCPCS/CPT codes, and received $268,817 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 16,176 prescription claims across 1,290 beneficiaries totaling $1,733,481 in drug costs, led by Ozempic (Semaglutide). DME data shows 874 claims. Open Payments data shows 67 records totaling $1,279. 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 $114,886 to $268,817. Similarly, Part D prescription costs have moved sharply higher in recent years, from $470,389 to $1,733,481. For DME billing, reported payments moved sharply higher in recent years, from $12,561 to $71,007.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	560	2,315	$114,886
2016	557	2,259	$97,036
2017	586	2,758	$123,542
2018	787	3,613	$156,607
2019	895	4,831	$209,976
2020	895	4,255	$181,929
2021	937	3,669	$202,299
2022	1,228	5,168	$303,134
2023	1,238	4,674	$276,147
2024	1,217	4,893	$268,817

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	354	8,419	$470,389
2016	404	8,994	$570,141
2017	413	8,711	$510,674
2018	498	8,158	$624,236
2019	627	8,691	$691,530
2020	650	9,828	$750,360
2021	727	9,706	$771,878
2022	894	11,680	$1,190,533
2023	957	13,039	$1,428,860
2024	1,290	16,176	$1,733,481

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	68	371	$10,513
2016	58	268	$5,331
2017	49	270	$6,439
2018	98	425	$11,680
2019	211	616	$18,129
2020	218	681	$24,015
2021	206	595	$23,891
2022	229	589	$25,430
2023	264	775	$41,924
2024	271	874	$53,251

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	786	786	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	793	1,381	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	183	217	$54
G2211	Visit 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's	517	655	$11
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	113	138	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	142	6,296	$199,227
Eliquis	Apixaban	199	9,359	$179,043
Farxiga	Dapagliflozin Propanediol	174	8,920	$156,374
Jardiance	Empagliflozin	112	6,390	$116,895
Mounjaro	Tirzepatide	104	3,065	$111,117

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	11	50	$22,281
A7031	Face mask interface, replacement for full face mask, each	N	19	53	$4,474
A7030	Full face mask used with positive airway pressure device, each	N	20	51	$4,395
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	21	60	$3,325
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	31	84	$3,006

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	67	$1,279	PFIZER INC.
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 Terry E. Ham, MD?

Tedicare shows public-source Medicare data for Terry E. Ham, MD (NPI 1306891650), 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 Terry E. Ham, MD have ACO affiliation data?

Terry E. Ham, MD is shown with ACO affiliation data for Accountable Care Coalition of Georgia, LLC. (MSSP, ACO ID A1596), Privia Quality Network of Georgia (MSSP, ACO ID A3236), and TC2, LLC (MSSP, ACO ID A3365).

What billing organization is linked to Terry E. Ham, MD?

Terry E. Ham, MD is linked to PRIVIA MEDICAL GROUP OF GEORGIA LLC (billing NPI 1013313857) in the available physician profile data.

Does Terry E. Ham, MD have Open Payments data?

Terry E. Ham, MD has 67 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.