Physician

Stephen Merle Elmore, MD

According to 2025 Medicare claims, Stephen Elmore, MD (NPI: 1467891564) practices rheumatology in the Atlanta-Sandy Springs-Roswell, GA market, with the plurality of this provider's patient population coming from Walton, GA. This provider's primary affiliated billing organization is SOUTHEASTERN RHEUMATOLOGY ALLIANCE (NPI: 1114795663; TIN: 933460719) and primary practice location at 30677-7306. Elmore is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Elmore's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 416 traditional Medicare patients, billed 125,132 HCPCS/CPT codes, and received $1,165,531 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 4,636 prescription claims across 571 beneficiaries totaling $6,164,453 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 212 records totaling $3,890. 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 risen steadily, from $52,522 to $1,165,531. Similarly, Part D prescription costs have moved sharply higher in recent years, from $39,389 to $6,164,453. 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$583K$1.2M2018 Medicare payment: $52,522 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $298,741 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $551,247 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $620,031 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $744,033 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $599,980 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,165,531 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181012,401$52,522
201929920,016$298,741
202038944,873$551,247
202141150,142$620,031
202239162,674$744,033
202333865,848$599,980
2024416125,132$1,165,531

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$3.2M$6.4M2015 Drug cost: $39,389 (USD; Tot_Drug_Cst)2016 Drug cost: $66,300 (USD; Tot_Drug_Cst)2017 Drug cost: $302,797 (USD; Tot_Drug_Cst)2018 Drug cost: $355,534 (USD; Tot_Drug_Cst)2019 Drug cost: $912,088 (USD; Tot_Drug_Cst)2020 Drug cost: $2,348,084 (USD; Tot_Drug_Cst)2021 Drug cost: $5,060,123 (USD; Tot_Drug_Cst)2022 Drug cost: $6,032,271 (USD; Tot_Drug_Cst)2023 Drug cost: $6,360,135 (USD; Tot_Drug_Cst)2024 Drug cost: $6,164,453 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201569488$39,389
2016104450$66,300
201798688$302,797
2018157702$355,534
20192721,593$912,088
20203782,503$2,348,084
20214693,941$5,060,123
20225034,367$6,032,271
20235024,224$6,360,135
20245714,636$6,164,453

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more298732$86
80053Blood test, comprehensive group of blood chemicals218298$10
36415Insertion of needle into vein for collection of blood sample262498$9
86140Measurement c-reactive protein for detection of infection or inflammation224298$5
85652Red blood cell sedimentation rate, to detect inflammation, automated224298$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1714,956$1,334,570
Humira(Cf) PenAdalimumab1905,140$1,313,155
Orencia ClickjectAbatacept1614,508$915,345
RinvoqUpadacitinib641,920$401,601
KevzaraSarilumab571,764$292,460

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.212$3,890ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Stephen Merle Elmore, MD?

Tedicare shows public-source Medicare data for Stephen Merle Elmore, MD (NPI 1467891564), 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 Stephen Merle Elmore, MD have ACO affiliation data?

Stephen Merle Elmore, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Stephen Merle Elmore, MD?

Stephen Merle Elmore, MD is linked to SOUTHEASTERN RHEUMATOLOGY ALLIANCE (billing NPI 1114795663) in the available physician profile data.

Does Stephen Merle Elmore, MD have Open Payments data?

Stephen Merle Elmore, MD has 212 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.