Physician

Abby Mccarville, PA

According to 2025 Medicare claims, Abby Mccarville, PA (NPI: 1316932262) practices physician assistant in the Buffalo-Cheektowaga, NY market, with the plurality of this provider's patient population coming from Erie, NY. This provider's primary affiliated billing organization is RHEUMATOLOGY CONSULTANTS OF WESTERN NEW YORK, P.C. (NPI: 1568532315; TIN: 202087498) and primary practice location at 14224-3444.

Mccarville's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 176 traditional Medicare patients, billed 6,265 HCPCS/CPT codes, and received $52,938 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,322 prescription claims across 550 beneficiaries totaling $3,294,698 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 26 records totaling $900. 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 up and down with repeated peaks and valleys, starting at $45,673 and ending at $52,938. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $194,886 to $3,294,698. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	111	969	$45,673
2017	153	1,588	$57,662
2018	119	526	$19,429
2019	123	466	$19,465
2020	123	615	$20,702
2021	135	1,121	$35,042
2022	152	1,436	$40,701
2023	154	1,620	$43,561
2024	176	6,265	$52,938

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	197	1,035	$194,886
2016	254	1,585	$545,955
2017	261	1,800	$889,561
2018	236	1,877	$967,178
2019	265	2,227	$1,255,663
2020	246	2,245	$1,316,113
2021	264	2,200	$1,586,429
2022	367	2,423	$2,042,087
2023	457	2,890	$2,835,259
2024	550	3,322	$3,294,698

DME Billing Trend

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

No connected DME records

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	292	$73
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	17	17	$37
20610	Aspiration and/or injection of fluid from large joint	23	66	$34
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	116	206	$9
J1010	Injection, methylprednisolone acetate, 1 mg	25	4,300	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	83	3,314	$826,415
Humira(Cf) Pen	Adalimumab	39	1,456	$464,435
Enbrel Mini	Etanercept	31	1,064	$274,097
Benlysta	Belimumab	40	1,232	$172,495
Enbrel	Etanercept	14	560	$146,716

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$900	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 Abby Mccarville, PA?

Tedicare shows public-source Medicare data for Abby Mccarville, PA (NPI 1316932262), 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 Abby Mccarville, PA have ACO affiliation data?

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

What billing organization is linked to Abby Mccarville, PA?

Abby Mccarville, PA is linked to RHEUMATOLOGY CONSULTANTS OF WESTERN NEW YORK, P.C. (billing NPI 1568532315) in the available physician profile data.

Does Abby Mccarville, PA have Open Payments data?

Abby Mccarville, PA has 26 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.