Physician

Andrea Gaito, MD

According to 2025 Medicare claims, Andrea Gaito, MD (NPI: 1487781787) practices rheumatology in the Newark, NJ market, with the plurality of this provider's patient population coming from Morris, NJ. Gaito uses personal NPI as billing NPI and primary practice location at 07920-1453.

Gaito's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 192 traditional Medicare patients, billed 787 HCPCS/CPT codes, and received $56,756 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 624 prescription claims across 140 beneficiaries totaling $515,990 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 30 records totaling $714. 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 risen steadily, from $349,128 to $515,990. 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.

Year	Patients	Clm Lines	Payment
2015	191	746	$45,732
2016	201	744	$46,772
2017	227	876	$52,570
2018	192	736	$45,087
2019	191	724	$49,070
2020	165	656	$42,537
2021	173	726	$50,984
2022	167	705	$48,952
2023	194	798	$57,987
2024	192	787	$56,756

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	101	749	$349,128
2016	93	718	$313,421
2017	124	712	$347,882
2018	112	680	$349,483
2019	123	701	$352,121
2020	119	598	$365,383
2021	138	616	$607,325
2022	118	598	$617,446
2023	131	606	$498,836
2024	140	624	$515,990

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	81	81	$165
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	267	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	54	$87
36410	Insertion of needle into vein (3 years or older)	180	372	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	32	1,092	$283,594
Humira	Adalimumab	13	364	$88,194
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	73	6,310	$5,354
Cefuroxime	Cefuroxime Axetil	45	1,314	$1,835
Celecoxib	Celecoxib	16	1,340	$1,038

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	30	$714	Amgen 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 Andrea Gaito, MD?

Tedicare shows public-source Medicare data for Andrea Gaito, MD (NPI 1487781787), 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 Andrea Gaito, 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 Andrea Gaito, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Andrea Gaito, MD have Open Payments data?

Andrea Gaito, MD has 30 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.