Physician

Paige Joy Arthur, MD

According to 2025 Medicare claims, Paige Arthur, MD (NPI: 1497240717) practices ophthalmology in the Madison, WI market, with the plurality of this provider's patient population coming from Dane, WI. This provider's primary affiliated billing organization is DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53901-3429. Arthur is affiliated with the SSM WI ACO LLC (ACO ID: A5124) and UW Health ACO, Inc (ACO ID: A5500), participating under the MSSP model.

Arthur's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 199 traditional Medicare patients, billed 827 HCPCS/CPT codes, and received $102,364 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 140 prescription claims across 70 beneficiaries totaling $4,501 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). No Open Payments records. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,713 to $4,501. 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$51K$102K2022 Medicare payment: $10,291 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $20,737 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $102,364 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202280143$10,291
2023176288$20,737
2024199827$102,364

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$8.5K$17K2019 Drug cost: $1,713 (USD; Tot_Drug_Cst)2020 Drug cost: $5,588 (USD; Tot_Drug_Cst)2021 Drug cost: $17,055 (USD; Tot_Drug_Cst)2022 Drug cost: $15,915 (USD; Tot_Drug_Cst)2023 Drug cost: $15,511 (USD; Tot_Drug_Cst)2024 Drug cost: $4,501 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20194062$1,713
202051116$5,588
202194196$17,055
202285200$15,915
2023108240$15,511
202470140$4,501

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
67028Injection of drug into eye7991$89
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more3131$83
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5662$68
J9035Injection, bevacizumab, 10 mg3952$57
92134Imaging of retina128139$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate521,561$2,006
Atropine SulfateAtropine Sulfate11414$330
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim31842$191
OfloxacinOfloxacin13283$134

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Paige Joy Arthur, MD?

Tedicare shows public-source Medicare data for Paige Joy Arthur, MD (NPI 1497240717), 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 Paige Joy Arthur, MD have ACO affiliation data?

Paige Joy Arthur, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124) and UW Health ACO, Inc (MSSP, ACO ID A5500).

What billing organization is linked to Paige Joy Arthur, MD?

Paige Joy Arthur, MD is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Paige Joy Arthur, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.