Physician

Carissa Gorham

According to 2025 Medicare claims, Carissa Gorham (NPI: 1407259559) practices certified clinical nurse specialist in the Peoria, IL market, with the plurality of this provider's patient population coming from Peoria, IL. This provider's primary affiliated billing organization is OSF MULTI-SPECIALTY GROUP (NPI: 1922445527; TIN: 383852646) and primary practice location at 61603-3201. Gorham is affiliated with the OSF Healthcare System (ACO ID: A3289), participating under the MSSP model.

Gorham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 171 traditional Medicare patients, billed 336 HCPCS/CPT codes, and received $18,626 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 169 prescription claims across 106 beneficiaries totaling $12,620 in drug costs, led by Myrbetriq (Mirabegron). No Open Payments records. 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 $14,435 and ending at $18,626. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $111,923 to $12,620. 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$23K$47K2015 Medicare payment: $14,435 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $23,868 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $24,140 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $17,454 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $24,764 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $31,160 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $46,750 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $19,565 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $15,357 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $18,626 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015165226$14,435
2016268382$23,868
2017265387$24,140
2018223305$17,454
20192061,716$24,764
20204601,435$31,160
20215851,350$46,750
2022213381$19,565
2023156286$15,357
2024171336$18,626

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$164K$328K2015 Drug cost: $111,923 (USD; Tot_Drug_Cst)2016 Drug cost: $327,626 (USD; Tot_Drug_Cst)2017 Drug cost: $277,329 (USD; Tot_Drug_Cst)2018 Drug cost: $302,540 (USD; Tot_Drug_Cst)2019 Drug cost: $129,145 (USD; Tot_Drug_Cst)2020 Drug cost: $128,849 (USD; Tot_Drug_Cst)2021 Drug cost: $184,754 (USD; Tot_Drug_Cst)2022 Drug cost: $72,712 (USD; Tot_Drug_Cst)2023 Drug cost: $25,188 (USD; Tot_Drug_Cst)2024 Drug cost: $12,620 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015146660$111,923
20162691,700$327,626
20172561,759$277,329
20183041,890$302,540
20192491,382$129,145
20203481,094$128,849
20213581,160$184,754
2022211588$72,712
2023125230$25,188
2024106169$12,620

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9092$86
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes94163$51
51703Complicated insertion of bladder tube1414$50
51700Simple bladder irrigation and/or instillation2729$20
51702Simple insertion of temporary bladder tube1920$17

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron15540$8,665
FinasterideFinasteride161,380$287
Tamsulosin HclTamsulosin Hcl151,350$218
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst11343$211
CephalexinCephalexin14177$77

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Carissa Gorham?

Tedicare shows public-source Medicare data for Carissa Gorham (NPI 1407259559), 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 Carissa Gorham have ACO affiliation data?

Carissa Gorham is shown with ACO affiliation data for OSF Healthcare System (MSSP, ACO ID A3289).

What billing organization is linked to Carissa Gorham?

Carissa Gorham is linked to OSF MULTI-SPECIALTY GROUP (billing NPI 1922445527) in the available physician profile data.

Does Carissa Gorham have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.