Physician

Addison G Whetstone, MD

According to 2025 Medicare claims, Addison Whetstone, MD (NPI: 1427478452) practices emergency medicine in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is MCALLEN EMERGENCY MEDICINE ASSOCIATES PA (NPI: 1336543636; TIN: 472071789) and primary practice location at 78503-3045. Whetstone is affiliated with the CHRISTUS Health Quality Care Alliance (ACO ID: A3029), participating under the MSSP model.

Whetstone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 107 traditional Medicare patients, billed 145 HCPCS/CPT codes, and received $12,406 in Medicare payments. The top billing code was 99285 (Emergency department visit with high level of medical decision making). Part D data shows 223 prescription claims across 153 beneficiaries totaling $7,551 in drug costs, led by Ondansetron Odt (Ondansetron). 2021 DME data shows 16 claims. 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 fallen sharply in recent years, from $4,417 to $12,406. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $710 and ending at $7,551. 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$47K$95K2016 Medicare payment: $4,417 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $46,611 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $94,932 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $90,613 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $78,159 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $61,618 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $23,804 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $29,499 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $12,406 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20163754$4,417
2017460513$46,611
2018896986$94,932
2019789870$90,613
2020659712$78,159
2021512568$61,618
2022163275$23,804
2023208266$29,499
2024107145$12,406

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$3.8K$7.6K2015 Drug cost: $710 (USD; Tot_Drug_Cst)2016 Drug cost: $4,961 (USD; Tot_Drug_Cst)2017 Drug cost: $3,490 (USD; Tot_Drug_Cst)2018 Drug cost: $6,658 (USD; Tot_Drug_Cst)2019 Drug cost: $7,069 (USD; Tot_Drug_Cst)2020 Drug cost: $6,710 (USD; Tot_Drug_Cst)2021 Drug cost: $5,764 (USD; Tot_Drug_Cst)2022 Drug cost: $2,500 (USD; Tot_Drug_Cst)2023 Drug cost: $5,552 (USD; Tot_Drug_Cst)2024 Drug cost: $7,551 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154774$710
2016141210$4,961
2017137203$3,490
2018238374$6,658
2019214318$7,069
2020210308$6,710
2021165256$5,764
2022106144$2,500
2023142205$5,552
2024153223$7,551

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$383$7662021 Medicare payment: $766 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R16$766
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99285Emergency department visit with high level of medical decision making6061$129
99284Emergency department visit with moderate level of medical decision making3334$77
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3637$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Ondansetron OdtOndansetron46300$445
Albuterol Sulfate HfaAlbuterol Sulfate11324$366
Doxycycline HyclateDoxycycline Hyclate18145$198
CefdinirCefdinir1180$153
CephalexinCephalexin25175$140

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 Addison G. Whetstone, MD?

Tedicare shows public-source Medicare data for Addison G. Whetstone, MD (NPI 1427478452), 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 Addison G. Whetstone, MD have ACO affiliation data?

Addison G. Whetstone, MD is shown with ACO affiliation data for CHRISTUS Health Quality Care Alliance (MSSP, ACO ID A3029).

What billing organization is linked to Addison G. Whetstone, MD?

Addison G. Whetstone, MD is linked to MCALLEN EMERGENCY MEDICINE ASSOCIATES PA (billing NPI 1336543636) in the available physician profile data.

Does Addison G. Whetstone, MD 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.