Physician

Hernando Moreno, MD

According to 2025 Medicare claims, Hernando Moreno, MD (NPI: 1396950994) practices internal medicine in the Valdosta, GA market, with the plurality of this provider's patient population coming from Lowndes, GA. This provider's primary affiliated billing organization is SGMC PHYSICIAN NETWORK INC (NPI: 1417597170; TIN: 84-3707279) and primary practice location at 31605-1029. Moreno is affiliated with the Privia Quality Network of Georgia (ACO ID: A3236) and PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Moreno's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 477 traditional Medicare patients, billed 4,554 HCPCS/CPT codes, and received $159,517 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,792 prescription claims across 634 beneficiaries totaling $1,155,213 in drug costs, led by Trulicity (Dulaglutide). DME data shows 672 claims. Open Payments data shows 11 records totaling $233. 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 from a higher plateau to a lower plateau, from $409,219 to $159,517. In contrast, Part D prescription costs have risen steadily, from $818,706 to $1,155,213. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $114,748 and ending at $60,486.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,009	26,714	$409,219
2016	1,079	25,360	$460,021
2017	801	24,103	$496,567
2018	781	22,685	$401,141
2019	739	16,453	$417,703
2020	600	7,687	$235,734
2021	563	7,400	$275,513
2022	558	4,734	$237,873
2023	515	4,424	$194,727
2024	477	4,554	$159,517

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	705	16,325	$818,706
2016	676	15,060	$808,438
2017	625	13,384	$735,489
2018	668	13,037	$825,777
2019	649	12,286	$960,031
2020	650	11,739	$961,468
2021	647	11,809	$937,723
2022	634	12,113	$1,151,723
2023	624	11,558	$1,249,355
2024	634	11,792	$1,155,213

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	507	1,409	$91,847
2016	487	1,302	$57,936
2017	411	1,190	$40,256
2018	392	1,147	$41,883
2019	426	1,148	$51,229
2020	357	900	$41,420
2021	276	826	$41,322
2022	293	885	$45,353
2023	277	742	$51,317
2024	241	672	$58,777

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	743	$77
99497	Advance care planning, first 30 minutes	170	170	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	299	609	$57
36415	Insertion of needle into vein for collection of blood sample	402	868	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trulicity	Dulaglutide	94	4,648	$158,454
Eliquis	Apixaban	100	5,794	$113,848
Ozempic	Semaglutide	77	3,596	$113,466
Januvia	Sitagliptin Phosphate	58	3,534	$60,325
Jardiance	Empagliflozin	38	2,546	$49,771

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	63	$18,833
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	14	$14,107
A7030	Full face mask used with positive airway pressure device, each	N	19	37	$3,093
A7032	Cushion for use on nasal mask interface, replacement only, each	N	11	24	$3,068
E0601	Continuous positive airway pressure (cpap) device	Y	16	76	$3,004

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$233	Novo Nordisk 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 Hernando Moreno, MD?

Tedicare shows public-source Medicare data for Hernando Moreno, MD (NPI 1396950994), 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 Hernando Moreno, MD have ACO affiliation data?

Hernando Moreno, MD is shown with ACO affiliation data for Privia Quality Network of Georgia (MSSP, ACO ID A3236) and PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533).

What billing organization is linked to Hernando Moreno, MD?

Hernando Moreno, MD is linked to SGMC PHYSICIAN NETWORK INC (billing NPI 1417597170) in the available physician profile data.

Does Hernando Moreno, MD have Open Payments data?

Hernando Moreno, 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.