Physician

Brandon Lyle Houk, MD

According to 2025 Medicare claims, Brandon Houk, MD (NPI: 1518143577) practices internal medicine in the Elizabethtown, KY market, with the plurality of this provider's patient population coming from Hardin, KY. This provider's primary affiliated billing organization is BRANDON L HOUK MD PSC (NPI: 1083878946; TIN: 262787083) and primary practice location at 42701-5936. Houk is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Houk's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 457 traditional Medicare patients, billed 5,421 HCPCS/CPT codes, and received $178,239 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 10,899 prescription claims across 678 beneficiaries totaling $1,306,776 in drug costs, led by Ozempic (Semaglutide). DME data shows 273 claims. Open Payments data shows 2 records totaling $30. 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 did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $69,311 to $37,836.

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$120K$241K2015 Medicare payment: $152,763 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $168,234 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $187,569 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $186,558 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $209,267 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $220,444 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $240,769 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $223,040 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $179,438 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $178,239 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155403,018$152,763
20165254,072$168,234
20175354,651$187,569
20185824,221$186,558
20195675,328$209,267
20205774,589$220,444
20215844,054$240,769
20225594,650$223,040
20234853,117$179,438
20244575,421$178,239

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$653K$1.3M2015 Drug cost: $740,921 (USD; Tot_Drug_Cst)2016 Drug cost: $730,808 (USD; Tot_Drug_Cst)2017 Drug cost: $702,671 (USD; Tot_Drug_Cst)2018 Drug cost: $694,323 (USD; Tot_Drug_Cst)2019 Drug cost: $727,187 (USD; Tot_Drug_Cst)2020 Drug cost: $529,759 (USD; Tot_Drug_Cst)2021 Drug cost: $631,565 (USD; Tot_Drug_Cst)2022 Drug cost: $798,007 (USD; Tot_Drug_Cst)2023 Drug cost: $1,209,375 (USD; Tot_Drug_Cst)2024 Drug cost: $1,306,776 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201550712,252$740,921
201650311,958$730,808
201747511,500$702,671
201846910,953$694,323
201948110,026$727,187
20204917,730$529,759
20215497,908$631,565
20225668,475$798,007
20235969,527$1,209,375
202467810,899$1,306,776

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$39K$77K2015 Medicare payment: $77,274 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $45,978 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $35,380 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $24,404 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,533 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $16,822 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $17,428 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,523 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $20,552 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $23,394 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20152111,158$77,274
2016156860$45,978
2017149748$35,380
2018118670$24,404
201967444$10,533
202054501$16,822
202136384$17,428
202236291$11,523
202313299$20,552
202424273$23,394

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit215215$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more334944$83
99497Advance care planning, first 30 minutes241246$56
G0444Annual depression screening, 5 to 15 minutes221221$18
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's343904$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1456,201$203,918
EliquisApixaban1807,884$151,792
IngrezzaValbenazine Tosylate11330$91,812
JanuviaSitagliptin Phosphate704,469$82,567
JardianceEmpagliflozin1004,080$79,853

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R40$15,280
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R38$3,269
A7031Face mask interface, replacement for full face mask, eachNN/R16$1,563
A7030Full face mask used with positive airway pressure device, eachNN/R15$1,256
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R26$489

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$30Indivior 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 Brandon Lyle Houk, MD?

Tedicare shows public-source Medicare data for Brandon Lyle Houk, MD (NPI 1518143577), 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 Brandon Lyle Houk, MD have ACO affiliation data?

Brandon Lyle Houk, MD is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Brandon Lyle Houk, MD?

Brandon Lyle Houk, MD is linked to BRANDON L HOUK MD PSC (billing NPI 1083878946) in the available physician profile data.

Does Brandon Lyle Houk, MD have Open Payments data?

Brandon Lyle Houk, MD has 2 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.