Physician

Andrew Nicholas Karpenko, MD

According to 2025 Medicare claims, Andrew Karpenko, MD (NPI: 1447350780) practices otolaryngology in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. This provider's primary affiliated billing organization is MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C. (NPI: 1003091141; TIN: 020705659) and primary practice location at 48162-4393.

Karpenko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 641 traditional Medicare patients, billed 1,496 HCPCS/CPT codes, and received $94,354 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 1,297 prescription claims across 525 beneficiaries totaling $349,865 in drug costs, led by Xywav (Sodium,calcium,mag,pot Oxybate). DME data shows 588 claims. Open Payments data shows 51 records totaling $1,197. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $39,808 to $349,865. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $6,971 to $23,402.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	595	1,890	$98,188
2016	602	1,944	$99,377
2017	567	1,948	$93,362
2018	508	1,465	$77,662
2019	532	1,730	$86,704
2020	540	1,229	$73,332
2021	546	1,299	$93,376
2022	437	1,068	$67,602
2023	531	1,238	$75,195
2024	641	1,496	$94,354

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	429	1,436	$39,808
2016	420	1,459	$36,294
2017	418	1,328	$31,286
2018	393	1,064	$25,858
2019	392	1,082	$28,950
2020	376	1,100	$40,316
2021	393	1,200	$39,512
2022	381	1,077	$45,176
2023	419	1,128	$216,608
2024	525	1,297	$349,865

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	54	$3,513
2016	65	226	$6,982
2017	102	265	$6,588
2018	143	343	$7,483
2019	158	350	$7,840
2020	146	374	$11,967
2021	188	485	$18,167
2022	194	431	$18,567
2023	172	357	$17,148
2024	260	588	$23,083

* / # = 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	103	125	$85
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	360	574	$63
69210	Removal of impacted ear wax	119	164	$33
92557	Comprehensive hearing and speech recognition test	98	102	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xywav	Sodium,calcium,mag,pot Oxybate	11	330	$213,894
Cevimeline Hcl	Cevimeline Hcl	17	1,230	$5,315
Fluticasone Propionate	Fluticasone Propionate	228	17,094	$5,194
Ipratropium Bromide	Ipratropium Bromide	102	5,341	$4,864
Ciprofloxacin-Dexamethasone	Ciprofloxacin Hcl/Dexameth	21	343	$2,613

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
E0601	Continuous positive airway pressure (cpap) device	Y	21	130	$4,058
A7030	Full face mask used with positive airway pressure device, each	N	23	48	$3,660
A7031	Face mask interface, replacement for full face mask, each	N	25	54	$3,398
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	38	73	$2,556
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	19	44	$2,252

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$1,197	GENZYME CORPORATION
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 Andrew Nicholas Karpenko, MD?

Tedicare shows public-source Medicare data for Andrew Nicholas Karpenko, MD (NPI 1447350780), 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 Andrew Nicholas Karpenko, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Andrew Nicholas Karpenko, MD?

Andrew Nicholas Karpenko, MD is linked to MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C. (billing NPI 1003091141) in the available physician profile data.

Does Andrew Nicholas Karpenko, MD have Open Payments data?

Andrew Nicholas Karpenko, MD has 51 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.