Physician

Carlos A Plata, M.D.

According to 2025 Medicare claims, Carlos Plata, M.D. (NPI: 1508872029) practices rheumatology in the Amarillo, TX market, with the plurality of this provider's patient population coming from Potter, TX. This provider's primary affiliated billing organization is AMARILLO MEDICAL SPECIALISTS,LLP (NPI: 1790743524; TIN: 201516910) and primary practice location at 79106-1769. Plata is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Plata's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 499 traditional Medicare patients, billed 118,290 HCPCS/CPT codes, and received $1,818,921 in Medicare payments. The top billing code was G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's). Part D data shows 2,966 prescription claims across 423 beneficiaries totaling $2,334,085 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 186 records totaling $3,578. 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 $391,434 to $1,818,921. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,198,857 and ending at $2,334,085. 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$909K$1.8M2015 Medicare payment: $391,434 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $341,142 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $855,677 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $999,499 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,331,676 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,247,270 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,158,998 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,034,024 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,267,178 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,818,921 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201536821,053$391,434
201634924,630$341,142
201758353,724$855,677
201852975,926$999,499
201953098,620$1,331,676
202049079,601$1,247,270
202145667,598$1,158,998
202243484,475$1,034,024
2023501102,355$1,267,178
2024499118,290$1,818,921

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$1.2M$2.4M2015 Drug cost: $1,198,857 (USD; Tot_Drug_Cst)2016 Drug cost: $1,349,800 (USD; Tot_Drug_Cst)2017 Drug cost: $1,739,475 (USD; Tot_Drug_Cst)2018 Drug cost: $2,412,882 (USD; Tot_Drug_Cst)2019 Drug cost: $2,278,373 (USD; Tot_Drug_Cst)2020 Drug cost: $1,942,252 (USD; Tot_Drug_Cst)2021 Drug cost: $1,562,316 (USD; Tot_Drug_Cst)2022 Drug cost: $1,641,843 (USD; Tot_Drug_Cst)2023 Drug cost: $1,762,114 (USD; Tot_Drug_Cst)2024 Drug cost: $2,334,085 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152825,353$1,198,857
20163345,637$1,349,800
20174775,049$1,739,475
20184623,952$2,412,882
20194414,178$2,278,373
20204213,807$1,942,252
20214123,170$1,562,316
20223652,653$1,641,843
20234182,716$1,762,114
20244232,966$2,334,085

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
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's428947$11
80048Blood test, basic group of blood chemicals (calcium, total)408978$8
80076Liver function blood test panel406954$8
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4291,061$7
85652Red blood cell sedimentation rate, to detect inflammation, automated4271,079$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab551,550$423,923
Enbrel SureclickEtanercept501,402$366,086
RinvoqUpadacitinib501,560$336,382
Orencia ClickjectAbatacept321,120$245,403
Cimzia (2 Pack)Certolizumab Pegol18504$111,960

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.186$3,578Amgen 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 Carlos A. Plata, M.D.?

Tedicare shows public-source Medicare data for Carlos A. Plata, M.D. (NPI 1508872029), 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 Carlos A. Plata, M.D. have ACO affiliation data?

Carlos A. Plata, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Carlos A. Plata, M.D.?

Carlos A. Plata, M.D. is linked to AMARILLO MEDICAL SPECIALISTS,LLP (billing NPI 1790743524) in the available physician profile data.

Does Carlos A. Plata, M.D. have Open Payments data?

Carlos A. Plata, M.D. has 186 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.