Physician

Andrew Thomas Mcgown, M.D.

According to 2025 Medicare claims, Andrew Mcgown, M.D. (NPI: 1508876434) practices sports medicine in the Columbia, SC market, with the plurality of this provider's patient population coming from Richland, SC. This provider's primary affiliated billing organization is PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI: 1346761897; TIN: 471345819) and primary practice location at 29203-6882. Mcgown is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Mcgown's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 881 traditional Medicare patients, billed 74,605 HCPCS/CPT codes, and received $867,839 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 690 prescription claims across 238 beneficiaries totaling $96,455 in drug costs, led by Piroxicam (Piroxicam). DME data shows 338 claims. Open Payments data shows 17 records totaling $758. 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 $339,193 to $867,839. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $39,659 and ending at $96,455. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $0 to $2,399.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	569	5,101	$339,193
2016	614	6,774	$432,017
2017	646	26,134	$513,153
2018	731	12,356	$524,078
2019	821	13,219	$769,209
2020	710	12,287	$517,045
2021	726	21,567	$657,950
2022	842	24,949	$714,578
2023	800	53,034	$769,308
2024	881	74,605	$867,839

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	157	320	$39,659
2016	277	624	$63,903
2017	214	521	$133,654
2018	285	742	$446,419
2019	286	653	$92,771
2020	216	511	$33,992
2021	147	333	$9,318
2022	256	549	$7,687
2023	314	925	$217,947
2024	238	690	$96,455

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	85	86	$27,060
2016	518	542	$156,266
2017	241	252	$81,360
2018	137	138	$75,697
2019	192	194	$100,053
2020	94	117	$68,367
2021	209	209	$82,425
2022	222	239	$96,978
2023	283	300	$94,378
2024	325	338	$91,246

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	600	1,090	$64
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	362	2,552	$55
20610	Aspiration and/or injection of fluid from large joint	825	5,356	$52
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	404	558	$40
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	402	3,138	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Piroxicam	Piroxicam	102	3,060	$54,708
Calcipotriene	Calcipotriene	96	3,000	$29,316
Protriptyline Hcl	Protriptyline Hcl	11	330	$10,187
Meloxicam	Meloxicam	408	12,631	$1,196
Diclofenac Sodium	Diclofenac Sodium	39	1,210	$721

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1851	Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf	N	77	78	$30,914
L1843	Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	21	21	$17,304
L1845	Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	15	15	$12,228
L2397	Addition to lower extremity orthosis, suspension sleeve	N	115	116	$11,440
L1852	Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf	N	21	21	$8,635

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$758	DePuy Synthes Sales 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 Andrew Thomas Mcgown, M.D.?

Tedicare shows public-source Medicare data for Andrew Thomas Mcgown, M.D. (NPI 1508876434), 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 Andrew Thomas Mcgown, M.D. have ACO affiliation data?

Andrew Thomas Mcgown, M.D. is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Andrew Thomas Mcgown, M.D.?

Andrew Thomas Mcgown, M.D. is linked to PRISMA HEALTH MEDICAL GROUP-MIDLANDS (billing NPI 1346761897) in the available physician profile data.

Does Andrew Thomas Mcgown, M.D. have Open Payments data?

Andrew Thomas Mcgown, M.D. has 17 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.