Physician

Osvaldo Antonio Carmona, MD

According to 2025 Medicare claims, Osvaldo Carmona, MD (NPI: 1346864931) practices internal medicine in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is CARMONA HEALTH SYSTEM LLC. (NPI: 1386337426) and primary practice location at 33126-9998. Carmona is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Carmona's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 300 traditional Medicare patients, billed 5,763 HCPCS/CPT codes, and received $1,382,974 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 2,895 prescription claims across 242 beneficiaries totaling $199,710 in drug costs, led by Eliquis (Apixaban). DME data shows 67 claims. Open Payments data shows 10 records totaling $104,984. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $8,608 to $199,710. 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$691K$1.4M2023 Medicare payment: $18,830 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,382,974 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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/RN/RN/R
202324182$18,830
20243005,763$1,382,974

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$100K$200K2020 Drug cost: $8,608 (USD; Tot_Drug_Cst)2021 Drug cost: $8,135 (USD; Tot_Drug_Cst)2022 Drug cost: $3,390 (USD; Tot_Drug_Cst)2023 Drug cost: $30,768 (USD; Tot_Drug_Cst)2024 Drug cost: $199,710 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202045125$8,608
2021101257$8,135
202260166$3,390
2023149527$30,768
20242422,895$199,710

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$1.0K$2.1K2024 Medicare payment: $2,063 (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/RN/RN/R
2023N/RN/RN/R
2024N/R67$2,063

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes193290$144
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2191,600$99
99239Hospital discharge day management, more than 30 minutes104149$95
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes65556$89
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2012,205$66

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban921,699$34,111
EntrestoSacubitril/Valsartan36652$13,722
XareltoRivaroxaban21522$11,217
BudesonideBudesonide14202$2,053
Atorvastatin CalciumAtorvastatin Calcium1594,168$1,948

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R21$1,241
K0001Standard wheelchairYN/R21$450
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$257
K0195Elevating leg rests, pair (for use with capped rental wheelchair base)YN/R13$115

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.0$0N/R
Research PaymentsReported research-related payment or transfer-of-value amount.10$104,984ABBVIE INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Osvaldo Antonio Carmona, MD?

Tedicare shows public-source Medicare data for Osvaldo Antonio Carmona, MD (NPI 1346864931), 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 Osvaldo Antonio Carmona, MD have ACO affiliation data?

Osvaldo Antonio Carmona, MD is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Osvaldo Antonio Carmona, MD?

Osvaldo Antonio Carmona, MD is linked to CARMONA HEALTH SYSTEM LLC. (billing NPI 1386337426) in the available physician profile data.

Does Osvaldo Antonio Carmona, MD have Open Payments data?

Osvaldo Antonio Carmona, MD has 10 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.