Physician

Charles Jeffrey Paul, MD

According to 2025 Medicare claims, Charles Paul, MD (NPI: 1386171437) practices urology in the Ames, IA market, with the plurality of this provider's patient population coming from Story, IA. This provider's primary affiliated billing organization is MCFARLAND CLINIC PC (NPI: 1639135643; TIN: 421089512) and primary practice location at 50010-3014. Paul is affiliated with the Stratum Med ACO (ACO ID: A4527), participating under the MSSP model.

Paul's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 716 traditional Medicare patients, billed 7,366 HCPCS/CPT codes, and received $245,004 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 1,277 prescription claims across 399 beneficiaries totaling $28,207 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 323 claims. Open Payments data shows 11 records totaling $624. 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 up and down with repeated peaks and valleys, starting at $3,613 and ending at $28,207. 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$123K$245K2023 Medicare payment: $42,359 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $245,004 (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
2022N/RN/RN/R
2023133615$42,359
20247167,366$245,004

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$90K$180K2017 Drug cost: $3,613 (USD; Tot_Drug_Cst)2018 Drug cost: $75,281 (USD; Tot_Drug_Cst)2019 Drug cost: $179,652 (USD; Tot_Drug_Cst)2020 Drug cost: $23,912 (USD; Tot_Drug_Cst)2021 Drug cost: $34,723 (USD; Tot_Drug_Cst)2022 Drug cost: $11,710 (USD; Tot_Drug_Cst)2023 Drug cost: $5,790 (USD; Tot_Drug_Cst)2024 Drug cost: $28,207 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201758139$3,613
2018391934$75,281
20193751,493$179,652
202090257$23,912
2021259628$34,723
202297212$11,710
202393180$5,790
20243991,277$28,207

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$32K2022 Medicare payment: $7,408 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $32,303 (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/R11$7,408
2023N/RN/RN/R
202444323$32,303

* / # = 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 more328460$86
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more310366$58
84153Psa (prostate specific antigen) measurement, total267325$18
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's459604$11
36415Insertion of needle into vein for collection of blood sample274331$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron15450$6,515
Tamsulosin HclTamsulosin Hcl41033,670$4,936
FinasterideFinasteride35031,295$4,209
Trospium ChlorideTrospium Chloride481,970$2,668
Potassium Citrate ErPotassium Citrate331,610$2,523

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/R31$27,059
A5112Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, eachN26121$2,200
A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), eachN1875$1,834
A5200Percutaneous catheter/tube anchoring device, adhesive skin attachmentNN/R11$532
A4344Indwelling catheter, foley type, two-way, all silicone or polyurethane, eachNN/R34$314

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.11$624Axonics, 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 Charles Jeffrey Paul, MD?

Tedicare shows public-source Medicare data for Charles Jeffrey Paul, MD (NPI 1386171437), 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 Charles Jeffrey Paul, MD have ACO affiliation data?

Charles Jeffrey Paul, MD is shown with ACO affiliation data for Stratum Med ACO (MSSP, ACO ID A4527).

What billing organization is linked to Charles Jeffrey Paul, MD?

Charles Jeffrey Paul, MD is linked to MCFARLAND CLINIC PC (billing NPI 1639135643) in the available physician profile data.

Does Charles Jeffrey Paul, MD have Open Payments data?

Charles Jeffrey Paul, MD has 11 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.