Physician

Matthew Bruce Bailey, M.D.

According to 2025 Medicare claims, Matthew Bailey, M.D. (NPI: 1386878080) practices general surgery in the Elizabethtown, KY market, with the plurality of this provider's patient population coming from Hardin, KY. This provider's primary affiliated billing organization is BAPTIST HEALTH MEDICAL GROUP INC (NPI: 1093338527; TIN: 205497203) and primary practice location at 42701-2503. Bailey is affiliated with the Baptist Health Care Partners, LLC (ACO ID: A2975) and AdvantagePoint Health Alliance - Bluegrass, LLC (ACO ID: A5028), participating under the MSSP model.

Bailey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 292 traditional Medicare patients, billed 732 HCPCS/CPT codes, and received $115,847 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 315 prescription claims across 154 beneficiaries totaling $8,174 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). 2016 DME data shows 12 claims. Open Payments data shows 12 records totaling $397. 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 moved up and down with repeated peaks and valleys, starting at $56,578 and ending at $115,847. Concurrently, Part D prescription costs have risen steadily, from $2,100 to $8,174. 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	155	418	$56,578
2016	332	981	$139,563
2017	376	979	$128,963
2018	197	459	$56,431
2019	177	513	$59,121
2020	135	341	$38,826
2021	183	536	$88,124
2022	259	646	$96,897
2023	285	730	$115,076
2024	292	732	$115,847

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	68	119	$2,100
2016	107	254	$5,414
2017	123	248	$8,178
2018	64	131	$1,686
2019	64	119	$5,127
2020	94	165	$9,485
2021	82	155	$7,351
2022	126	257	$6,546
2023	171	374	$13,815
2024	154	315	$8,174

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	12	$911
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$206
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	66	88	$63
45380	Biopsy of large bowel using a flexible endoscope	64	64	$61
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	59	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	39	52	$2,396
Naloxone Hcl	Naloxone Hcl	11	142	$464
Lidocaine	Lidocaine	12	160	$271
Pantoprazole Sodium	Pantoprazole Sodium	36	1,844	$145
Sucralfate	Sucralfate	14	272	$134

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$397	Axonics, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Matthew Bruce Bailey, M.D.?

Tedicare shows public-source Medicare data for Matthew Bruce Bailey, M.D. (NPI 1386878080), 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 Matthew Bruce Bailey, M.D. have ACO affiliation data?

Matthew Bruce Bailey, M.D. is shown with ACO affiliation data for Baptist Health Care Partners, LLC (MSSP, ACO ID A2975) and AdvantagePoint Health Alliance - Bluegrass, LLC (MSSP, ACO ID A5028).

What billing organization is linked to Matthew Bruce Bailey, M.D.?

Matthew Bruce Bailey, M.D. is linked to BAPTIST HEALTH MEDICAL GROUP INC (billing NPI 1093338527) in the available physician profile data.

Does Matthew Bruce Bailey, M.D. have Open Payments data?

Matthew Bruce Bailey, M.D. has 12 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.