Physician

Kenny R Sizemore, MD

According to 2025 Medicare claims, Kenny Sizemore, MD (NPI: 1346229861) practices rheumatology in the Knoxville, TN market, with the plurality of this provider's patient population coming from Knox, TN. This provider's primary affiliated billing organization is ARTICULARIS RHEUMATOLOGY SPECIALISTS OF TENNESSEE PLLC (NPI: 1720803661; TIN: 331967261) and primary practice location at 37923-4727. Sizemore is affiliated with the Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), participating under the MSSP model.

Sizemore's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 781 traditional Medicare patients, billed 13,075 HCPCS/CPT codes, and received $181,414 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 5,641 prescription claims across 931 beneficiaries totaling $3,390,774 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2022 DME data shows 12 claims. Open Payments data shows 263 records totaling $4,788. 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 fallen sharply in recent years, from $496,329 to $181,414. Concurrently, Part D prescription costs have changed little. 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.

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$693K$1.4M2015 Medicare payment: $496,329 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $537,535 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $593,868 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $677,647 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $902,016 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,386,041 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,193,785 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,323,513 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $320,293 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $181,414 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201569332,334$496,329
201669237,082$537,535
201771834,155$593,868
201870142,844$677,647
201982074,508$902,016
2020888133,361$1,386,041
2021862133,879$1,193,785
2022748165,623$1,323,513
202391427,952$320,293
202478113,075$181,414

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$1.7M$3.4M2015 Drug cost: $2,238,529 (USD; Tot_Drug_Cst)2016 Drug cost: $2,351,363 (USD; Tot_Drug_Cst)2017 Drug cost: $2,294,985 (USD; Tot_Drug_Cst)2018 Drug cost: $2,351,009 (USD; Tot_Drug_Cst)2019 Drug cost: $2,624,737 (USD; Tot_Drug_Cst)2020 Drug cost: $2,891,867 (USD; Tot_Drug_Cst)2021 Drug cost: $2,749,655 (USD; Tot_Drug_Cst)2022 Drug cost: $2,899,834 (USD; Tot_Drug_Cst)2023 Drug cost: $3,326,053 (USD; Tot_Drug_Cst)2024 Drug cost: $3,390,774 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157108,090$2,238,529
20167357,824$2,351,363
20177176,973$2,294,985
20187436,630$2,351,009
20198127,225$2,624,737
20209658,613$2,891,867
20219357,942$2,749,655
20229006,988$2,899,834
20238876,595$3,326,053
20249315,641$3,390,774

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$492$9852022 Medicare payment: $985 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R12$985
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6191,009$79
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's607865$12
36415Insertion of needle into vein for collection of blood sample6921,093$8
86140Measurement c-reactive protein for detection of infection or inflammation586700$5
85652Red blood cell sedimentation rate, to detect inflammation, automated565669$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab832,520$710,461
EnbrelEtanercept461,512$387,464
RinvoqUpadacitinib511,830$386,785
Enbrel SureclickEtanercept351,036$271,394
Gamunex-CImmune Globul G/Gly/Iga Avg 4613364$257,439

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.263$4,788Amgen 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 Kenny R. Sizemore, MD?

Tedicare shows public-source Medicare data for Kenny R. Sizemore, MD (NPI 1346229861), 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 Kenny R. Sizemore, MD have ACO affiliation data?

Kenny R. Sizemore, MD is shown with ACO affiliation data for Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502).

What billing organization is linked to Kenny R. Sizemore, MD?

Kenny R. Sizemore, MD is linked to ARTICULARIS RHEUMATOLOGY SPECIALISTS OF TENNESSEE PLLC (billing NPI 1720803661) in the available physician profile data.

Does Kenny R. Sizemore, MD have Open Payments data?

Kenny R. Sizemore, MD has 263 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.