Physician

Ward Jackson Paine, MD

According to 2025 Medicare claims, Ward Paine, MD (NPI: 1518918614) practices internal medicine in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is WARD PAINE, MD, PLLC (NPI: 1194855676; TIN: 208131592) and primary practice location at 26508-1459. Paine is affiliated with the Aledade A2920 WV MSSP Enhanced (ACO ID: A2920) and Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Paine's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 424 traditional Medicare patients, billed 2,117 HCPCS/CPT codes, and received $171,386 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 23,792 prescription claims across 861 beneficiaries totaling $2,043,467 in drug costs, led by Eliquis (Apixaban). DME data shows 441 claims. Open Payments data shows 88 records totaling $1,065,889. 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 declined steadily, from $300,059 to $171,386. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $45,485 to $28,878.

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$150K$300K2015 Medicare payment: $300,059 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $239,386 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $243,365 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $292,622 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $269,968 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $233,473 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $211,038 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $182,427 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $197,699 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $171,386 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158734,964$300,059
20167814,063$239,386
20177103,820$243,365
20188284,036$292,622
20198453,775$269,968
20207613,588$233,473
20216093,015$211,038
20224862,568$182,427
20234802,440$197,699
20244242,117$171,386

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$1.0M$2.0M2015 Drug cost: $1,586,900 (USD; Tot_Drug_Cst)2016 Drug cost: $1,657,976 (USD; Tot_Drug_Cst)2017 Drug cost: $1,508,254 (USD; Tot_Drug_Cst)2018 Drug cost: $1,717,436 (USD; Tot_Drug_Cst)2019 Drug cost: $1,661,553 (USD; Tot_Drug_Cst)2020 Drug cost: $1,603,158 (USD; Tot_Drug_Cst)2021 Drug cost: $1,591,513 (USD; Tot_Drug_Cst)2022 Drug cost: $1,567,622 (USD; Tot_Drug_Cst)2023 Drug cost: $1,836,658 (USD; Tot_Drug_Cst)2024 Drug cost: $2,043,467 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201586126,310$1,586,900
201681729,481$1,657,976
201774324,775$1,508,254
201878422,584$1,717,436
201979019,994$1,661,553
202073816,448$1,603,158
202170313,918$1,591,513
202269514,449$1,567,622
202383417,157$1,836,658
202486123,792$2,043,467

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$19K$39K2015 Medicare payment: $36,820 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $38,685 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $17,363 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $27,722 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $28,599 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $35,191 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $8,323 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $8,156 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $21,419 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $13,516 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015209964$36,820
2016155918$38,685
2017109690$17,363
2018115725$27,722
2019113707$28,599
2020127548$35,191
202133259$8,323
202232164$8,156
202341577$21,419
202425441$13,516

* / # = 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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more122137$132
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit187187$120
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes195950$78
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more132214$74
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more102353$53

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban68513,979$275,282
OzempicSemaglutide1024,091$134,728
JardianceEmpagliflozin1996,456$130,685
TrulicityDulaglutide1103,024$106,882
XareltoRivaroxaban1454,011$79,253

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/R14$3,033
E1161Manual adult size wheelchair, includes tilt in spaceYN/R12$2,468
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R36$2,298
A6212Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressingNN/R12$1,549
K0001Standard wheelchairY1163$1,279

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.40$697Abbott Laboratories
Research PaymentsReported research-related payment or transfer-of-value amount.48$1,065,192Eli Lilly and Company
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Ward Jackson Paine, MD?

Tedicare shows public-source Medicare data for Ward Jackson Paine, MD (NPI 1518918614), 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 Ward Jackson Paine, MD have ACO affiliation data?

Ward Jackson Paine, MD is shown with ACO affiliation data for Aledade A2920 WV MSSP Enhanced (MSSP, ACO ID A2920) and Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Ward Jackson Paine, MD?

Ward Jackson Paine, MD is linked to WARD PAINE, MD, PLLC (billing NPI 1194855676) in the available physician profile data.

Does Ward Jackson Paine, MD have Open Payments data?

Ward Jackson Paine, MD has 88 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.