Physician

Alexander Michael Johnston, M.D.

According to 2025 Medicare claims, Alexander Johnston, M.D. (NPI: 1356785604) practices critical care (intensivists), with the plurality of this provider's patient population coming from Bradford, PA. This provider's primary affiliated billing organization is GUTHRIE MEDICAL GROUP, P.C. (NPI: 1821040270) and primary practice location at 18840-1698. Johnston is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645) and Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under both the MSSP and REACH models.

Johnston's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 170 traditional Medicare patients, billed 242 HCPCS/CPT codes, and received $27,052 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). 2021 Part D data shows 14 prescription claims totaling $357 in drug costs. Open Payments data shows 1 records totaling $32. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $434 and ending at $357. 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$36K$72K2019 Medicare payment: $22,817 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $72,195 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $52,789 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $41,525 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $46,842 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $27,052 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019104213$22,817
2020280492$72,195
2021247465$52,789
2022220376$41,525
2023203320$46,842
2024170242$27,052

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$3.2K$6.4K2015 Drug cost: $434 (USD; Tot_Drug_Cst)2016 Drug cost: $682 (USD; Tot_Drug_Cst)2017 Drug cost: $342 (USD; Tot_Drug_Cst)2018 Drug cost: $6,423 (USD; Tot_Drug_Cst)2020 Drug cost: $336 (USD; Tot_Drug_Cst)2021 Drug cost: $357 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151529$434
20161829$682
20172028$342
2018N/R21$6,423
2019N/RN/RN/R
20201224$336
2021N/R14$357
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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 minutes1414$123
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5354$99
99238Hospital discharge day management, 30 minutes or less1515$61
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2224$60
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4761$37

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.1$32Solventum Corporation
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 Alexander Michael Johnston, M.D.?

Tedicare shows public-source Medicare data for Alexander Michael Johnston, M.D. (NPI 1356785604), 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 Alexander Michael Johnston, M.D. have ACO affiliation data?

Alexander Michael Johnston, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645) and Humana Direct Contracting Entity, Inc. (REACH, ACO ID D0203).

What billing organization is linked to Alexander Michael Johnston, M.D.?

Alexander Michael Johnston, M.D. is linked to GUTHRIE MEDICAL GROUP, P.C. (billing NPI 1821040270) in the available physician profile data.

Does Alexander Michael Johnston, M.D. have Open Payments data?

Alexander Michael Johnston, M.D. has 1 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.