Physician

Caitlin O'Neill

According to 2025 Medicare claims, Caitlin O'Neill (NPI: 1497174262) practices hematology in the Los Angeles-Long Beach-Glendale, CA market, with the plurality of this provider's patient population coming from Los Angeles, CA. This provider's primary affiliated billing organization is USC CARE MEDICAL GROUP, INC (NPI: 1902846306; TIN: 954540991) and primary practice location at 90089-0112. O'Neill is affiliated with the Lore Health ACO (ACO ID: A5192), participating under the MSSP model.

O'Neill's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 124 traditional Medicare patients, billed 270 HCPCS/CPT codes, and received $16,588 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 127 prescription claims across 41 beneficiaries totaling $947,151 in drug costs, led by Doptelet (Avatrombopag Maleate). Open Payments data shows 5 records totaling $260. 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 moved sharply higher in recent years, from $3,296 to $16,588. Similarly, Part D prescription costs have moved sharply higher in recent years, from $3,255 to $947,151. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	25	41	$3,296
2021	66	119	$10,763
2022	96	194	$15,088
2023	175	340	$25,845
2024	124	270	$16,588

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	23	82	$3,255
2017	43	189	$118,388
2018	49	180	$196,345
2019	24	75	$183,714
2020	17	54	$135,454
2021	N/R	12	$10,804
2022	14	40	$35,259
2023	30	110	$362,829
2024	41	127	$947,151

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	12	12	$137
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	30	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	68	104	$51
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	27	63	$40

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Doptelet	Avatrombopag Maleate	20	600	$486,026
Calquence	Acalabrutinib Maleate	12	360	$186,223
Xarelto	Rivaroxaban	14	1,260	$22,109
Eliquis	Apixaban	24	1,110	$22,101
Warfarin Sodium	Warfarin Sodium	12	1,080	$285

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.	5	$260	PharmaEssentia USA 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 Caitlin O'Neill?

Tedicare shows public-source Medicare data for Caitlin O'Neill (NPI 1497174262), 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 Caitlin O'Neill have ACO affiliation data?

Caitlin O'Neill is shown with ACO affiliation data for Lore Health ACO (MSSP, ACO ID A5192).

What billing organization is linked to Caitlin O'Neill?

Caitlin O'Neill is linked to USC CARE MEDICAL GROUP, INC (billing NPI 1902846306) in the available physician profile data.

Does Caitlin O'Neill have Open Payments data?

Caitlin O'Neill has 5 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.