Physician

Bruce L Flax, M.D.

According to 2025 Medicare claims, Bruce Flax, M.D. (NPI: 1366462640) practices radiation oncology in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Frederick, VA. This provider's primary affiliated billing organization is SHENANDOAH ONCOLOGY, PC (NPI: 1124381959; TIN: 454759270) and primary practice location at 22601-6906. Flax is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Flax's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 456 traditional Medicare patients, billed 3,696 HCPCS/CPT codes, and received $257,663 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 140 prescription claims across 62 beneficiaries totaling $1,756 in drug costs, led by Memantine Hcl (Memantine Hcl). 2018 DME data shows 11 claims. No Open Payments records. 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 moved from a lower plateau to a higher plateau, from $1,746 to $1,756. 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.

Year	Patients	Clm Lines	Payment
2015	468	4,881	$336,610
2016	446	4,833	$301,139
2017	430	5,157	$328,814
2018	462	6,044	$392,426
2019	455	5,462	$356,569
2020	424	5,450	$386,302
2021	486	5,824	$394,183
2022	497	5,311	$374,748
2023	528	5,752	$387,127
2024	456	3,696	$257,663

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	36	83	$1,746
2016	29	47	$1,182
2017	30	58	$1,004
2018	44	80	$2,266
2019	51	102	$3,403
2020	43	68	$2,071
2021	42	105	$1,951
2022	49	118	$1,982
2023	62	149	$2,780
2024	62	140	$1,756

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	11	$1,290
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
77427	Radiation treatment management, 5 treatment sessions	164	561	$143
77263	Complex radiation therapy planning	142	147	$124
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$100
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	160	161	$46
77300	Calculation of radiation therapy dose	122	311	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Memantine Hcl	Memantine Hcl	20	666	$356
Tamsulosin Hcl	Tamsulosin Hcl	53	2,910	$273
Oxycodone Hcl	Oxycodone Hcl	17	142	$237

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Bruce L. Flax, M.D.?

Tedicare shows public-source Medicare data for Bruce L. Flax, M.D. (NPI 1366462640), 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 Bruce L. Flax, M.D. have ACO affiliation data?

Bruce L. Flax, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Bruce L. Flax, M.D.?

Bruce L. Flax, M.D. is linked to SHENANDOAH ONCOLOGY, PC (billing NPI 1124381959) in the available physician profile data.

Does Bruce L. Flax, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.