Physician

Joel S Waldrop, MD

According to 2025 Medicare claims, Joel Waldrop, MD (NPI: 1336128016) practices emergency medicine in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Aiken, SC. This provider's primary affiliated billing organization is SC HOUSE CALLS INC (NPI: 1518048859; TIN: 205227543) and primary practice location at 30901-1434. Waldrop is affiliated with the TC2, LLC (ACO ID: A3365) and Advanced Illness Partners, LLC (ACO ID: D0097), participating under both the MSSP and REACH models.

Waldrop's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,676 traditional Medicare patients, billed 34,214 HCPCS/CPT codes, and received $1,936,702 in Medicare payments. The top billing code was 99349 (Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes). Part D data shows 10,384 prescription claims across 662 beneficiaries totaling $518,455 in drug costs, led by Eliquis (Apixaban). DME data shows 572 claims. No Open Payments records. 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 $70,504 to $1,936,702. Similarly, Part D prescription costs have risen steadily, from $15,724 to $518,455. 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	589	1,958	$70,504
2016	597	1,524	$60,916
2017	710	1,941	$73,966
2018	689	2,096	$70,136
2019	802	3,434	$86,162
2020	536	2,161	$53,361
2021	1,646	4,617	$211,825
2022	1,845	9,835	$600,973
2023	2,226	41,526	$2,363,309
2024	1,676	34,214	$1,936,702

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	502	935	$15,724
2016	497	883	$11,801
2017	588	1,106	$16,440
2018	526	1,007	$18,481
2019	536	981	$14,881
2020	404	704	$16,275
2021	606	1,241	$26,628
2022	273	796	$55,850
2023	474	3,698	$207,808
2024	662	10,384	$518,455

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	12	96	$2,320
2024	222	572	$30,211

* / # = 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
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	345	1,057	$95
99487	Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	1,056	3,849	$92
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	245	1,572	$78
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	382	$76
99489	Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	1,038	24,861	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	396	5,122	$107,131
Trulicity	Dulaglutide	27	758	$29,034
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	40	1,200	$27,468
Jardiance	Empagliflozin	77	760	$14,637
Januvia	Sitagliptin Phosphate	45	669	$13,430

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
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	N	N/R	12	$6,941
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	Y	17	83	$3,696
K0003	Lightweight wheelchair	Y	25	124	$3,389
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	22	22	$3,195
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	N	21	21	$1,961

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Joel S. Waldrop, MD?

Tedicare shows public-source Medicare data for Joel S. Waldrop, MD (NPI 1336128016), 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 Joel S. Waldrop, MD have ACO affiliation data?

Joel S. Waldrop, MD is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365) and Advanced Illness Partners, LLC (REACH, ACO ID D0097).

What billing organization is linked to Joel S. Waldrop, MD?

Joel S. Waldrop, MD is linked to SC HOUSE CALLS INC (billing NPI 1518048859) in the available physician profile data.

Does Joel S. Waldrop, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.