Physician

Joseph R Allen, M.D.

According to 2025 Medicare claims, Joseph Allen, M.D. (NPI: 1316945314) practices family practice in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42101-1759. Allen is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Allen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 707 traditional Medicare patients, billed 23,537 HCPCS/CPT codes, and received $167,502 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 20,232 prescription claims across 1,197 beneficiaries totaling $1,737,023 in drug costs, led by Jardiance (Empagliflozin). DME data shows 352 claims. Open Payments data shows 40 records totaling $691. 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 changed little. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $87,636 to $38,316.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	734	11,109	$155,371
2016	748	8,435	$123,416
2017	794	12,183	$125,912
2018	830	15,500	$117,010
2019	770	20,697	$101,237
2020	681	22,446	$111,115
2021	633	19,990	$118,457
2022	594	15,314	$112,848
2023	584	18,390	$115,116
2024	707	23,537	$167,502

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	936	24,776	$1,547,608
2016	957	27,412	$1,789,649
2017	1,021	27,764	$2,025,218
2018	1,141	28,454	$2,060,769
2019	1,247	28,029	$1,954,012
2020	1,286	28,119	$2,035,053
2021	1,287	26,178	$1,931,746
2022	1,226	23,159	$1,810,247
2023	1,141	20,008	$1,797,008
2024	1,197	20,232	$1,737,023

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	338	1,855	$159,375
2016	404	1,859	$108,855
2017	293	1,387	$66,527
2018	307	1,338	$84,364
2019	195	1,013	$60,539
2020	138	706	$36,788
2021	128	605	$29,966
2022	122	529	$25,910
2023	109	424	$17,961
2024	85	352	$15,620

* / # = 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	420	684	$83
84443	Blood test, thyroid stimulating hormone (tsh)	321	334	$16
80061	Blood test, lipids (cholesterol and triglycerides)	393	409	$13
80053	Blood test, comprehensive group of blood chemicals	417	449	$10
85027	Complete blood cell count (red cells, white blood cell, platelets), automated test	335	363	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	150	7,890	$150,259
Eliquis	Apixaban	195	7,670	$144,123
Trulicity	Dulaglutide	44	2,634	$85,996
Januvia	Sitagliptin Phosphate	64	4,740	$81,868
Mounjaro	Tirzepatide	58	1,686	$62,360

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	N/R	13	$5,760
J7606	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms	N	N/R	12	$1,862
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	11	22	$1,336
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	37	97	$1,322
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	11	$1,154

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	40	$691	Corium, LLC
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 Joseph R. Allen, M.D.?

Tedicare shows public-source Medicare data for Joseph R. Allen, M.D. (NPI 1316945314), 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 Joseph R. Allen, M.D. have ACO affiliation data?

Joseph R. Allen, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Joseph R. Allen, M.D.?

Joseph R. Allen, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Joseph R. Allen, M.D. have Open Payments data?

Joseph R. Allen, M.D. has 40 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.