Physician

Darryl Fernandes, MD

According to 2025 Medicare claims, Darryl Fernandes, MD (NPI: 1336186113) practices colorectal surgery (formerly proctology) in the Bloomington, IL market, with the plurality of this provider's patient population coming from Mc Lean, IL. This provider's primary affiliated billing organization is CARLE WEST PHYSICIAN GROUP INC (NPI: 1467074138; TIN: 850703768) and primary practice location at 61761-1517. Fernandes is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Fernandes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 142 traditional Medicare patients, billed 412 HCPCS/CPT codes, and received $60,131 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 137 prescription claims across 68 beneficiaries totaling $1,552 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 16 claims. Open Payments data shows 4 records totaling $118. 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,200 to $1,552. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $3,755 and ending at $6,394.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	214	560	$70,291
2016	168	409	$60,358
2017	189	467	$77,995
2018	187	455	$65,028
2019	165	411	$72,752
2020	150	358	$54,469
2021	155	326	$49,607
2022	194	504	$70,647
2023	184	435	$62,805
2024	142	412	$60,131

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	107	189	$4,200
2016	95	167	$2,823
2017	88	177	$3,518
2018	76	136	$1,595
2019	65	122	$1,148
2020	64	121	$1,022
2021	63	94	$615
2022	55	97	$691
2023	65	103	$705
2024	68	137	$1,552

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	139	$5,915
2016	N/R	88	$2,923
2017	N/R	62	$2,119
2018	N/R	73	$3,632
2019	N/R	72	$6,785
2020	N/R	13	$1,478
2021	N/R	14	$1,613
2022	N/R	27	$2,063
2023	N/R	136	$7,851
2024	N/R	16	$1,798

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$117
46600	Diagnostic exam of anus using an endoscope	29	34	$74
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	23	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	25	32	$65
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	24	52	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	44	192	$283
Neomycin Sulfate	Neomycin Sulfate	17	19	$75
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	12	86	$75
Tramadol Hcl	Tramadol Hcl	15	76	$37
Metronidazole	Metronidazole	18	23	$25

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
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	16	$1,798

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$118	Smith+Nephew, 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 Darryl Fernandes, MD?

Tedicare shows public-source Medicare data for Darryl Fernandes, MD (NPI 1336186113), 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 Darryl Fernandes, MD have ACO affiliation data?

Darryl Fernandes, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Darryl Fernandes, MD?

Darryl Fernandes, MD is linked to CARLE WEST PHYSICIAN GROUP INC (billing NPI 1467074138) in the available physician profile data.

Does Darryl Fernandes, MD have Open Payments data?

Darryl Fernandes, MD has 4 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.