Physician

Tyler Dean Sexton, M.D.

According to 2025 Medicare claims, Tyler Sexton, M.D. (NPI: 1356607857) practices pediatric medicine in the Palm Bay-Melbourne-Titusville, FL market, with the plurality of this provider's patient population coming from Brevard, FL. This provider's primary affiliated billing organization is JM HOLDINGS OF BREVARD INC (NPI: 1477910149) and primary practice location at 32901-2639. Sexton is affiliated with the Ochsner Accountable Care Network, LLC (ACO ID: A1535), participating under the MSSP model.

Sexton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 60 traditional Medicare patients, billed 3,290 HCPCS/CPT codes, and received $2,214,733 in Medicare payments. The top billing code was 97610 (Therapy procedure using ultrasound). Part D data shows 137 prescription claims across 46 beneficiaries totaling $10,395 in drug costs, led by Clindamycin Hcl (Clindamycin Hcl). 2017 DME data shows 32 claims. Open Payments data shows 4 records totaling $73. 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 $1,150 to $10,395. 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$1.1M$2.2M2015 Medicare payment: $5,460 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $11,483 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $9,938 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,214,733 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155296$5,460
2016103219$11,483
2017103200$9,938
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024603,290$2,214,733

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$5.2K$10K2016 Drug cost: $1,150 (USD; Tot_Drug_Cst)2017 Drug cost: $1,346 (USD; Tot_Drug_Cst)2018 Drug cost: $756 (USD; Tot_Drug_Cst)2019 Drug cost: $198 (USD; Tot_Drug_Cst)2020 Drug cost: $2,039 (USD; Tot_Drug_Cst)2022 Drug cost: $1,097 (USD; Tot_Drug_Cst)2023 Drug cost: $168 (USD; Tot_Drug_Cst)2024 Drug cost: $10,395 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20163249$1,150
20172939$1,346
2018N/R25$756
2019N/R19$198
2020N/R15$2,039
2021N/RN/RN/R
2022N/R11$1,097
2023N/R15$168
202446137$10,395

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$361$7222017 Medicare payment: $722 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172732$722
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/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
97610Therapy procedure using ultrasound2051$316
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more2525$86
99183Management of oxygen chamber therapy17373$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more41207$70
0640TNoncontact near-infrared spectroscopy with image acquisition, interpretation and report, first anatomic site27104$18

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Clindamycin HclClindamycin Hcl12112$244
Doxycycline HyclateDoxycycline Hyclate16176$197
Ciprofloxacin HclCiprofloxacin Hcl19203$150

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.4$73Organogenesis 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 Tyler Dean Sexton, M.D.?

Tedicare shows public-source Medicare data for Tyler Dean Sexton, M.D. (NPI 1356607857), 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 Tyler Dean Sexton, M.D. have ACO affiliation data?

Tyler Dean Sexton, M.D. is shown with ACO affiliation data for Ochsner Accountable Care Network, LLC (MSSP, ACO ID A1535).

What billing organization is linked to Tyler Dean Sexton, M.D.?

Tyler Dean Sexton, M.D. is linked to JM HOLDINGS OF BREVARD INC (billing NPI 1477910149) in the available physician profile data.

Does Tyler Dean Sexton, M.D. have Open Payments data?

Tyler Dean Sexton, M.D. 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.