Physician

Arie Pearce Francis

According to 2025 Medicare claims, Arie Francis (NPI: 1396123576) practices medical toxicology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is STONY BROOK EMERGENCY PHYSICIANS, UNIVERSITY FACULTY PRACTICE CORPORAT (NPI: 1265487672; TIN: 113066770) and primary practice location at 11794-3407. Francis is affiliated with the Stony Brook ACO, LLC. (ACO ID: A4830), participating under the MSSP model.

Francis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 533 traditional Medicare patients, billed 683 HCPCS/CPT codes, and received $81,711 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 37 prescription claims across 31 beneficiaries totaling $1,464 in drug costs. Open Payments data shows 1 records totaling $22. 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 $46,801 and ending at $81,711. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$49K$98K2020 Medicare payment: $46,801 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $98,459 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $59,520 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $92,566 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $81,711 (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
2020260336$46,801
2021589701$98,459
2022388472$59,520
2023578669$92,566
2024533683$81,711

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$1.2K$2.5K2016 Drug cost: $2,466 (USD; Tot_Drug_Cst)2017 Drug cost: $1,754 (USD; Tot_Drug_Cst)2021 Drug cost: $956 (USD; Tot_Drug_Cst)2022 Drug cost: $1,562 (USD; Tot_Drug_Cst)2023 Drug cost: $1,518 (USD; Tot_Drug_Cst)2024 Drug cost: $1,464 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20163142$2,466
20173349$1,754
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211922$956
20222833$1,562
20233034$1,518
20243137$1,464

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99291Critical care, first 30-74 minutes2525$189
99285Emergency department visit with high level of medical decision making379383$155
99284Emergency department visit with moderate level of medical decision making6366$105
76937Ultrasonic guidance for blood vessel access1818$12
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6969$6

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.1$22Merck Sharp & Dohme 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 Arie Pearce Francis?

Tedicare shows public-source Medicare data for Arie Pearce Francis (NPI 1396123576), 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 Arie Pearce Francis have ACO affiliation data?

Arie Pearce Francis is shown with ACO affiliation data for Stony Brook ACO, LLC. (MSSP, ACO ID A4830).

What billing organization is linked to Arie Pearce Francis?

Arie Pearce Francis is linked to STONY BROOK EMERGENCY PHYSICIANS, UNIVERSITY FACULTY PRACTICE CORPORAT (billing NPI 1265487672) in the available physician profile data.

Does Arie Pearce Francis have Open Payments data?

Arie Pearce Francis has 1 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.