Physician

Brandon Patrick Byron, MD

According to 2025 Medicare claims, Brandon Byron, MD (NPI: 1316917966) practices family practice in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26501-1503. Byron is affiliated with the ACO West Virginia (ACO ID: A3563) and Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Byron's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 236 traditional Medicare patients, billed 1,247 HCPCS/CPT codes, and received $75,204 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 7,160 prescription claims across 496 beneficiaries totaling $660,437 in drug costs, led by Trulicity (Dulaglutide). DME data shows 97 claims. Open Payments data shows 1 records totaling $19. 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 declined steadily, from $104,064 to $75,204. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $10,068 to $2,596.

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$60K$119K2015 Medicare payment: $104,064 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $91,406 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $119,053 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $109,610 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $101,137 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $80,184 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $84,208 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $70,706 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $78,481 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $75,204 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154513,400$104,064
20164433,310$91,406
20174463,091$119,053
20184373,145$109,610
20194232,846$101,137
20203591,646$80,184
20213091,293$84,208
2022246906$70,706
20232461,016$78,481
20242361,247$75,204

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$346K$692K2015 Drug cost: $604,105 (USD; Tot_Drug_Cst)2016 Drug cost: $691,862 (USD; Tot_Drug_Cst)2017 Drug cost: $568,128 (USD; Tot_Drug_Cst)2018 Drug cost: $579,639 (USD; Tot_Drug_Cst)2019 Drug cost: $541,169 (USD; Tot_Drug_Cst)2020 Drug cost: $607,365 (USD; Tot_Drug_Cst)2021 Drug cost: $602,376 (USD; Tot_Drug_Cst)2022 Drug cost: $641,471 (USD; Tot_Drug_Cst)2023 Drug cost: $658,705 (USD; Tot_Drug_Cst)2024 Drug cost: $660,437 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154948,008$604,105
20164989,058$691,862
20174788,079$568,128
20184637,932$579,639
20194757,765$541,169
20204868,240$607,365
20214617,412$602,376
20224667,033$641,471
20234536,979$658,705
20244967,160$660,437

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$5.2K$10K2015 Medicare payment: $7,091 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,398 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,460 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,559 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,490 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,655 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,277 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,495 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $3,917 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,788 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201588298$7,091
201665280$5,398
201763225$3,460
201848155$1,559
201925175$10,490
202033180$4,655
202118178$4,277
202216107$2,495
202319128$3,917
2024N/R97$2,788

* / # = 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 visit152152$119
99497Advance care planning, first 30 minutes182182$74
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more189320$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6677$45
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's126158$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TrulicityDulaglutide391,876$61,798
FarxigaDapagliflozin Propanediol513,035$56,860
JardianceEmpagliflozin332,117$41,309
EliquisApixaban341,980$37,895
OzempicSemaglutide22924$30,825

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$1,634
J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dmeNN/R15$403
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R12$310
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsNN/R35$244
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$197

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$19Novo Nordisk 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 Brandon Patrick Byron, MD?

Tedicare shows public-source Medicare data for Brandon Patrick Byron, MD (NPI 1316917966), 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 Brandon Patrick Byron, MD have ACO affiliation data?

Brandon Patrick Byron, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Brandon Patrick Byron, MD?

Brandon Patrick Byron, MD is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does Brandon Patrick Byron, MD have Open Payments data?

Brandon Patrick Byron, 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.