Physician

Patrick J O'Brien, MD

According to 2025 Medicare claims, Patrick O'Brien, MD (NPI: 1356374219) practices physical medicine and rehabilitation in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is CAROLINA REHABILITATION AND SURGICAL ASSOCIATES, PA (NPI: 1518913656; TIN: 561637604) and primary practice location at 27610-1231. O'Brien is affiliated with the Care Partners ACO, LLC (ACO ID: A5350) and Advanced Illness Partners, LLC (ACO ID: D0097), participating under both the MSSP and REACH models.

O'Brien's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 846 traditional Medicare patients, billed 123,548 HCPCS/CPT codes, and received $834,141 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 92,658 prescription claims across 1,908 beneficiaries totaling $5,377,126 in drug costs, led by Eliquis (Apixaban). DME data shows 2,449 claims. Open Payments data shows 40 records totaling $4,683. 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 have risen steadily, from $1,889,429 to $5,377,126. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $159,450 to $286,646.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,433	95,100	$790,918
2016	1,542	96,440	$787,994
2017	1,417	109,012	$853,638
2018	1,306	120,126	$930,761
2019	1,220	120,989	$925,832
2020	1,235	102,262	$783,066
2021	1,294	106,160	$781,297
2022	1,189	121,294	$913,946
2023	1,073	126,785	$924,431
2024	846	123,548	$834,141

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	882	55,117	$1,889,429
2016	1,141	73,361	$2,682,487
2017	1,388	93,558	$3,875,799
2018	1,423	105,149	$4,390,932
2019	1,554	94,614	$3,949,708
2020	1,690	85,029	$3,766,226
2021	1,784	82,837	$4,163,691
2022	1,854	97,650	$5,281,684
2023	1,855	96,803	$5,269,821
2024	1,908	92,658	$5,377,126

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	657	2,195	$108,232
2016	726	2,714	$122,641
2017	916	3,889	$178,131
2018	1,178	5,238	$189,787
2019	1,025	4,375	$146,793
2020	2,046	5,353	$221,910
2021	1,944	5,798	$273,574
2022	1,725	4,930	$314,749
2023	1,042	3,412	$321,171
2024	821	2,449	$270,190

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	126	137	$132
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	161	163	$126
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	571	2,297	$58
95874	Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle	119	322	$54
J0585	Injection, onabotulinumtoxina, 1 unit	116	116,500	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	3,453	41,180	$891,912
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	71	2,077	$294,550
Ingrezza	Valbenazine Tosylate	21	630	$179,986
Trulicity	Dulaglutide	336	4,601	$177,877
Xarelto	Rivaroxaban	500	6,329	$130,363

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	28	61	$70,501
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	47	131	$35,318
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	47	$17,724
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	60	119	$16,569
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,065

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	40	$4,683	ABBVIE 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 Patrick J. O'Brien, MD?

Tedicare shows public-source Medicare data for Patrick J. O'Brien, MD (NPI 1356374219), 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 Patrick J. O'Brien, MD have ACO affiliation data?

Patrick J. O'Brien, MD is shown with ACO affiliation data for Care Partners ACO, LLC (MSSP, ACO ID A5350) and Advanced Illness Partners, LLC (REACH, ACO ID D0097).

What billing organization is linked to Patrick J. O'Brien, MD?

Patrick J. O'Brien, MD is linked to CAROLINA REHABILITATION AND SURGICAL ASSOCIATES, PA (billing NPI 1518913656) in the available physician profile data.

Does Patrick J. O'Brien, MD have Open Payments data?

Patrick J. O'Brien, MD 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.