Physician

Joshua T Carothers, MD

According to 2025 Medicare claims, Joshua Carothers, MD (NPI: 1407020597) practices orthopedic surgery in the Santa Fe, NM market, with the plurality of this provider's patient population coming from Santa Fe, NM. This provider's primary affiliated billing organization is ST. VINCENT HOSPITAL (NPI: 1538403894; TIN: 850106941) and primary practice location at 87505-6302. Carothers is affiliated with the CHRISTUS Health Quality Care Alliance (ACO ID: A3029), participating under the MSSP model.

Carothers' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 455 traditional Medicare patients, billed 1,341 HCPCS/CPT codes, and received $180,548 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 104 prescription claims across 62 beneficiaries totaling $543 in drug costs, led by Tramadol Hcl (Tramadol Hcl). 2022 DME data shows 19 claims. Open Payments data shows 10 records totaling $1,504. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,808 and ending at $543. For DME billing, reported payments fell sharply in recent years, from $3,560 to $1,078.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	573	3,121	$240,082
2016	618	4,244	$278,312
2017	609	3,856	$290,210
2018	604	3,618	$271,845
2019	737	4,076	$327,748
2020	685	3,623	$291,708
2021	907	5,581	$412,000
2022	650	2,981	$244,749
2023	475	1,366	$233,488
2024	455	1,341	$180,548

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	145	245	$4,808
2016	179	381	$11,303
2017	276	567	$19,038
2018	296	527	$24,941
2019	309	515	$16,496
2020	205	383	$7,381
2021	85	121	$16,889
2022	48	71	$327
2023	71	173	$3,278
2024	62	104	$543

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	18	40	$3,302
2016	38	53	$2,776
2017	35	35	$1,239
2018	20	20	$795
2019	46	61	$2,760
2020	38	38	$1,554
2021	42	42	$2,475
2022	19	19	$788
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	221	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	102	106	$48
20610	Aspiration and/or injection of fluid from large joint	139	204	$39
73564	X-ray of knee, 4 or more views	180	252	$8
73502	X-ray of hip, 2-3 views	122	154	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tramadol Hcl	Tramadol Hcl	27	158	$75
Amoxicillin	Amoxicillin	34	36	$40

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.	9	$1,141	Zimmer Biomet Holdings, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$363	Zimmer Biomet Holdings, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Joshua T. Carothers, MD?

Tedicare shows public-source Medicare data for Joshua T. Carothers, MD (NPI 1407020597), 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 Joshua T. Carothers, MD have ACO affiliation data?

Joshua T. Carothers, MD is shown with ACO affiliation data for CHRISTUS Health Quality Care Alliance (MSSP, ACO ID A3029).

What billing organization is linked to Joshua T. Carothers, MD?

Joshua T. Carothers, MD is linked to ST. VINCENT HOSPITAL (billing NPI 1538403894) in the available physician profile data.

Does Joshua T. Carothers, MD have Open Payments data?

Joshua T. Carothers, MD has 10 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.