Physician

Joseph Sarcona, M.D.

According to 2025 Medicare claims, Joseph Sarcona, M.D. (NPI: 1386030237) practices urology in the Springfield, MA market, with the plurality of this provider's patient population coming from Hampden, MA. This provider's primary affiliated billing organization is PIONEER VALLEY UROLOGY, PC (NPI: 1750315982; TIN: 043249509) and primary practice location at 01107-1179. Sarcona is affiliated with the Pioneer Valley Accountable Care, LLC (ACO ID: A5040) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Sarcona's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 937 traditional Medicare patients, billed 6,021 HCPCS/CPT codes, and received $293,372 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,540 prescription claims across 415 beneficiaries totaling $120,359 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 82 claims. Open Payments data shows 8 records totaling $367. 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 risen steadily, from $367 to $120,359. 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$147K$293K2021 Medicare payment: $51,819 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $199,810 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $233,408 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $293,372 (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
2021243733$51,819
20226223,194$199,810
20238563,912$233,408
20249376,021$293,372

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$61K$122K2015 Drug cost: $367 (USD; Tot_Drug_Cst)2016 Drug cost: $2,682 (USD; Tot_Drug_Cst)2017 Drug cost: $1,179 (USD; Tot_Drug_Cst)2018 Drug cost: $1,417 (USD; Tot_Drug_Cst)2019 Drug cost: $2,118 (USD; Tot_Drug_Cst)2020 Drug cost: $2,168 (USD; Tot_Drug_Cst)2021 Drug cost: $19,391 (USD; Tot_Drug_Cst)2022 Drug cost: $96,701 (USD; Tot_Drug_Cst)2023 Drug cost: $122,128 (USD; Tot_Drug_Cst)2024 Drug cost: $120,359 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152632$367
20163254$2,682
20174758$1,179
20184370$1,417
20195077$2,118
20202328$2,168
2021166294$19,391
20223361,221$96,701
20233961,542$122,128
20244151,540$120,359

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$16K$31K2023 Medicare payment: $31,193 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $28,765 (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/RN/RN/R
2023N/R91$31,193
2024N/R82$28,765

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more512645$94
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more290322$64
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's602793$12
51798Ultrasound measurement of bladder capacity after voiding342382$9
81003Automated urinalysis test423483$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron742,759$41,605
GemtesaVibegron572,528$40,203
Tamsulosin HclTamsulosin Hcl45932,382$7,134
FinasterideFinasteride29021,107$4,167
Oxybutynin Chloride ErOxybutynin Chloride1055,944$3,422

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R11$13,392
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R28$12,651
A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), eachNN/R11$2,245
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R14$318
A4332Lubricant, individual sterile packet, eachNN/R18$159

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.8$367COLOPLAST CORP
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 Joseph Sarcona, M.D.?

Tedicare shows public-source Medicare data for Joseph Sarcona, M.D. (NPI 1386030237), 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 Joseph Sarcona, M.D. have ACO affiliation data?

Joseph Sarcona, M.D. is shown with ACO affiliation data for Pioneer Valley Accountable Care, LLC (MSSP, ACO ID A5040) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Joseph Sarcona, M.D.?

Joseph Sarcona, M.D. is linked to PIONEER VALLEY UROLOGY, PC (billing NPI 1750315982) in the available physician profile data.

Does Joseph Sarcona, M.D. have Open Payments data?

Joseph Sarcona, M.D. has 8 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.