Physician

Abigail Mccarthy, PA

According to 2025 Medicare claims, Abigail Mccarthy, PA (NPI: 1376158063) practices physician assistant in the Syracuse, NY market, with the plurality of this provider's patient population coming from Onondaga, NY. This provider's primary affiliated billing organization is ST JOSEPHS MEDICAL PC (NPI: 1942501747; TIN: 27-3899821) and primary practice location at 13031-2238. Mccarthy is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Mccarthy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 176 traditional Medicare patients, billed 622 HCPCS/CPT codes, and received $20,393 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 2,998 prescription claims across 582 beneficiaries totaling $211,262 in drug costs, led by Ozempic (Semaglutide). 2022 DME data shows 39 claims. Open Payments data shows 27 records totaling $535. 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 $269 to $211,262. 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$10K$20K2022 Medicare payment: $3,710 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $15,496 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $20,393 (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
20221839$3,710
2023139499$15,496
2024176622$20,393

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$106K$211K2020 Drug cost: $269 (USD; Tot_Drug_Cst)2021 Drug cost: $29,990 (USD; Tot_Drug_Cst)2022 Drug cost: $56,077 (USD; Tot_Drug_Cst)2023 Drug cost: $159,383 (USD; Tot_Drug_Cst)2024 Drug cost: $211,262 (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
2020N/R11$269
2021292731$29,990
2022325994$56,077
20235561,777$159,383
20245822,998$211,262

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$328$6562022 Medicare payment: $656 (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/R39$656
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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more152207$45
80061Blood test, lipids (cholesterol and triglycerides)2727$13
80053Blood test, comprehensive group of blood chemicals3438$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2730$8
36415Insertion of needle into vein for collection of blood sample4760$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide33952$30,438
JardianceEmpagliflozin281,440$28,666
MounjaroTirzepatide15428$15,471
TrulicityDulaglutide14420$14,093
EliquisApixaban12730$13,769

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.27$535Lilly USA, LLC
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 Abigail Mccarthy, PA?

Tedicare shows public-source Medicare data for Abigail Mccarthy, PA (NPI 1376158063), 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 Abigail Mccarthy, PA have ACO affiliation data?

Abigail Mccarthy, PA is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Abigail Mccarthy, PA?

Abigail Mccarthy, PA is linked to ST JOSEPHS MEDICAL PC (billing NPI 1942501747) in the available physician profile data.

Does Abigail Mccarthy, PA have Open Payments data?

Abigail Mccarthy, PA has 27 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.