Physician

Elena Daniela Ghetie, MD

According to 2025 Medicare claims, Elena Ghetie, MD (NPI: 1396926093) practices rheumatology in the Amarillo, TX market, with the plurality of this provider's patient population coming from Potter, TX. This provider's primary affiliated billing organization is AMARILLO MEDICAL SPECIALISTS,LLP (NPI: 1790743524; TIN: 201516910) and primary practice location at 79106-1768. Ghetie is affiliated with the OHSU Health Clinically Integrated Network (ACO ID: A4901) and PSW ACO (ACO ID: A5323), participating under the MSSP model.

Ghetie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 173 traditional Medicare patients, billed 511 HCPCS/CPT codes, and received $29,436 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,069 prescription claims across 194 beneficiaries totaling $990,476 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 8 records totaling $81,857. 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 $7,438 and ending at $29,436. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $42,048 to $990,476. 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$76K$152K2015 Medicare payment: $7,438 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $17,631 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $19,163 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $41,500 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $151,944 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $120,215 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $24,408 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $23,217 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $24,412 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $29,436 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201544153$7,438
2016125302$17,631
2017139317$19,163
2018152927$41,500
20191785,757$151,944
20201566,307$120,215
2021142296$24,408
2022180307$23,217
2023177322$24,412
2024173511$29,436

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$564K$1.1M2015 Drug cost: $42,048 (USD; Tot_Drug_Cst)2016 Drug cost: $111,548 (USD; Tot_Drug_Cst)2017 Drug cost: $341,786 (USD; Tot_Drug_Cst)2018 Drug cost: $421,967 (USD; Tot_Drug_Cst)2019 Drug cost: $451,048 (USD; Tot_Drug_Cst)2020 Drug cost: $457,226 (USD; Tot_Drug_Cst)2021 Drug cost: $718,227 (USD; Tot_Drug_Cst)2022 Drug cost: $809,373 (USD; Tot_Drug_Cst)2023 Drug cost: $1,128,851 (USD; Tot_Drug_Cst)2024 Drug cost: $990,476 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201553220$42,048
201687475$111,548
2017109707$341,786
2018158757$421,967
20191621,166$451,048
2020175911$457,226
2021149800$718,227
2022173972$809,373
20232281,187$1,128,851
20241941,069$990,476

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more6596$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more109157$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3340$43
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's117167$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab521,218$292,719
Xeljanz XrTofacitinib Citrate23690$125,584
ActemraTocilizumab24784$111,841
OtezlaApremilast14420$63,433
Mycophenolate MofetilMycophenolate Mofetil462,860$4,593

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$130Novartis Pharmaceuticals Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.7$81,727Janssen Research & Development, LLC
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Elena Daniela Ghetie, MD?

Tedicare shows public-source Medicare data for Elena Daniela Ghetie, MD (NPI 1396926093), 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 Elena Daniela Ghetie, MD have ACO affiliation data?

Elena Daniela Ghetie, MD is shown with ACO affiliation data for OHSU Health Clinically Integrated Network (MSSP, ACO ID A4901) and PSW ACO (MSSP, ACO ID A5323).

What billing organization is linked to Elena Daniela Ghetie, MD?

Elena Daniela Ghetie, MD is linked to AMARILLO MEDICAL SPECIALISTS,LLP (billing NPI 1790743524) in the available physician profile data.

Does Elena Daniela Ghetie, MD have Open Payments data?

Elena Daniela Ghetie, MD 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.