Physician

John Simpson Clapp, M.D.

According to 2025 Medicare claims, John Clapp, M.D. (NPI: 1457471336) practices orthopedic surgery in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Aiken, SC. This provider's primary affiliated billing organization is AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC (NPI: 1457389504; TIN: 581327528) and primary practice location at 30830-9686. Clapp is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Clapp's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 548 traditional Medicare patients, billed 1,732 HCPCS/CPT codes, and received $253,762 in Medicare payments. The top billing code was 72148 (Mri scan of lower spinal canal without contrast). Part D data shows 1,162 prescription claims across 394 beneficiaries totaling $13,217 in drug costs, led by Gabapentin (Gabapentin). DME data shows 11 claims. Open Payments data shows 6 records totaling $234. 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 declined steadily, from $36,188 to $13,217. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $888 and ending at $9,080.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	554	2,348	$212,186
2016	623	2,616	$282,051
2017	699	2,834	$277,393
2018	633	2,830	$307,175
2019	717	3,092	$335,887
2020	670	2,762	$308,938
2021	610	2,595	$280,657
2022	628	2,344	$278,161
2023	549	1,751	$226,021
2024	548	1,732	$253,762

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	289	1,068	$36,188
2016	295	1,075	$22,532
2017	305	913	$15,524
2018	294	787	$23,849
2019	386	1,022	$27,186
2020	354	1,009	$14,443
2021	419	1,253	$13,648
2022	426	1,225	$12,845
2023	430	1,397	$17,995
2024	394	1,162	$13,217

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	14	25	$4,244
2016	29	29	$5,792
2017	64	64	$1,482
2018	61	61	$4,639
2019	47	47	$1,007
2020	49	49	$1,231
2021	30	30	$655
2022	45	45	$1,218
2023	41	41	$943
2024	11	11	$252

* / # = 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
72148	Mri scan of lower spinal canal without contrast	111	118	$134
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	267	$88
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	295	394	$60
72100	X-ray of lower and sacral spine, 2-3 views	149	177	$27
72170	X-ray of pelvis, 1-2 views	81	81	$19

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	242	8,240	$2,787
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	149	1,122	$1,211
Tizanidine Hcl	Tizanidine Hcl	113	2,545	$919
Dexamethasone	Dexamethasone	162	855	$827
Pregabalin	Pregabalin	59	1,754	$589

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
L0120	Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)	N	11	11	$252

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$234	Smith+Nephew, 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 John Simpson Clapp, M.D.?

Tedicare shows public-source Medicare data for John Simpson Clapp, M.D. (NPI 1457471336), 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 John Simpson Clapp, M.D. have ACO affiliation data?

John Simpson Clapp, M.D. is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to John Simpson Clapp, M.D.?

John Simpson Clapp, M.D. is linked to AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC (billing NPI 1457389504) in the available physician profile data.

Does John Simpson Clapp, M.D. have Open Payments data?

John Simpson Clapp, M.D. has 6 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.